title: Composite Z plasty for cicatricial ectropion of Tessier III cleft.
abstract: Tessier III clefts represent one of the most difficult and challenging malformations of the face to repair. Ectropion caused by a Tessier III cleft may be secondary to a vertical loss of both the anterior and posterior lamellae of the lower eyelids.A composite Z plasty to treat recurrence of cicatricial ectropion of the lower eyelids in Tessier III cleft is described. This is not only a technically easy and effective surgical method but also has a short operation time. To the best of the authors' knowledge, this is the first report of the application of a composite Z plasty in the successful treatment of ectropion.
authors.affiliation: Division of Plastic & Reconstructive Surgery, Saga Medical School, Saga, Japan. uemurat@post.saga-med.ac.jp
authors.forename: Tetsuji
authors.initials: T
authors.lastname: Uemura
authors.forename: Takuya
authors.initials: T
authors.lastname: Onizuka
authors.forename: Tadayuki
authors.initials: T
authors.lastname: Suse
authors.forename: Atsuomi
authors.initials: A
authors.lastname: Saiga
authors.forename: Naozumi
authors.initials: N
authors.lastname: Matsumoto
authors.forename: Chiho
authors.initials: C
authors.lastname: Yoshimaru
authors.forename: Hidehiro
authors.initials: H
authors.lastname: Nakamura
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Mitsukawa
mesh_terms: D002648:Child; D002921:Cicatrix / Q000150:complications* / Q000209:etiology; D004483:Ectropion / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D019767:Maxillofacial Abnormalities / Q000150:complications* / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000009:adverse effects* / Q000379:methods*; D012008:Recurrence