title: Double-opposed Z plasty for upper eyelid entropion correction.
abstract: Recurrent cicatricial entropion of the upper eyelid creates a surgical problem. We present a 53-year-old patient with complicated postsurgical fibrotic and scarred upper eyelid entropion. Double-opposed Z-plasty incisions were used at the anterior approach. The outer Z incision included the skin and the orbicularis oculi muscle underneath, whereas the inner Z incisions included the tarsal plate and conjunctiva, in a mirror-image fashion. Two goals were achieved, i.e., release of the vertical traction vector of the conjunctiva and balance of forces between the anterior and posterior layers of the lid. Symptomatic and clinical improvement was observed, and there was no recurrence 2 years after surgery.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Beilinson Medical Center, Petah-Tiqva, Israel.
authors.forename: G
authors.initials: G
authors.lastname: Tamir
authors.forename: J C
authors.initials: JC
authors.lastname: Van der Meulen
authors.forename: M
authors.initials: M
authors.lastname: Robinpour
authors.forename: D J
authors.initials: DJ
authors.lastname: Hauben
mesh_terms: D004774:Entropion / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013518:Surgery, Plastic / Q000379:methods*; D013524:Surgical Flaps