title: [Lower eyelid reconstruction of traumatically caused cicatricial entropion with amniotic membrane or mucosal membrane grafts].
abstract: BACKGROUND
  A retrospective evaluation was undertaken of eyelid reconstruction with amniotic membrane or oral mucosal membrane transplantation in patients with lower lid cicatricial entropion after orbital surgery.
  
  
  METHODS
  Seven patients (four women) were treated with a scar tissue dissection and an amniotic membrane or mucosal membrane transplantation between 2003 and 2006 (Five amniotic membrane grafts and two oral mucosal membrane grafts). In selected cases additional procedures like a lateral tarsal strip operation, a tarsal fracture, or the reinsertion of the lower lid retractors were performed.
  
  
  RESULTS
  All patients showed a favourable postoperative result with a good anatomic correction of the entropion and a regression of the preoperative disturbances. All the grafts took well. Two patients had to be reoperated twice and one patient three times as a result of a relapse of the cicatricial entropion. However, as well in these patients the anatomical and functional result was favourable at the end.
  
  
  CONCLUSIONS
  The difficult scar dissection with the subsequent amniotic membrane or oral mucosal membrane transplantation seems to be an appropriate procedure to reconstruct complicated cicatricial entropion after orbital surgery.
authors.affiliation: Klinik und Poliklinik für Augenheilkunde, Inselspital, Universität Bern, Bern, Schweiz.
authors.forename: P
authors.initials: P
authors.lastname: Trittibach
authors.forename: M van
authors.initials: Mv
authors.lastname: Son
authors.forename: O
authors.initials: O
authors.lastname: Lieger
authors.forename: B E
authors.initials: BE
authors.lastname: Frueh
authors.forename: D
authors.initials: D
authors.lastname: Goldblum
mesh_terms: D000328:Adult; D000368:Aged; D000650:Amnion / Q000637:transplantation*; D002921:Cicatrix / Q000209:etiology / Q000601:surgery*; D005143:Eyelids / Q000293:injuries* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009092:Mucous Membrane / Q000637:transplantation*; D013508:Ophthalmologic Surgical Procedures / Q000009:adverse effects* / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome