[Bipedicle myocutaneous flap for cicatricial ectropion correction].
OBJECTIVE
To evaluate the correction of lower eyelid cicatricial ectropion due to shrinking of anterior lamela with the surgical technique of bipedicle myocutaneous flap from the upper eyelid.


METHODS
Prospective study with eight eyelids of six patients. There were two patients with unilateral ectropion who had received external local radiotherapy.


RESULTS
There were three male and three female patients, with mean age of 72 years. One patient presented an incomplete blinking for one month that spontaneously resolved. Three eyelids of two patients maintained a residual ectropion; one of them had received local external radiotherapy. Follow-up ranged from 19 to 23 months (mean of 20 months) and all patients improved their ocular condition.


CONCLUSIONS
The bipedicle myocutaneous flap is effective for correction of cicatricial ectropion due to shrinking of anterior lamella.
Lucci
Lucia Miriam Dumont
LM
Faculdade de Medicina, ABC-FMABC, Santo André, SP, Brazil. lucia.lucci@uol.com.br
Baldin
Antonio Carlos
AC
Fonseca
Nilson Lopes da
NL
Rehder
José Ricardo Carvalho Lima
JR
D000368:Aged; D000369:Aged, 80 and over; D002921:Cicatrix / Q000150:complications*; D004483:Ectropion / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000379:methods; D011446:Prospective Studies; D013524:Surgical Flaps / Q000009:adverse effects; D016896:Treatment Outcome