title: Acquired entropion associated with the transconjunctival incision for facial fracture management.
abstract: Transconjunctival incisions are used in cases of orbitozygomatic trauma and elective lower eyelid blepharoplasty. Although this approach has reduced the rates of ectropion, there is a rare but reported incidence of entropion. We review our experience with craniofacial trauma between 1998 and 2008 and our use of the transconjunctival, subtarsal, and subciliary approaches. We describe 2 patients where entropion occurred after a transconjunctival approach for repair of orbital and zygomatic fractures and review the literature. With the increasing popularity of this incision in reconstructive and cosmetic plastic surgery, a complete understanding of orbital anatomy and associated treatment options for entropion is necessary.
authors.affiliation: Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 110 Francis Street, Boston, MA 02215, USA.
authors.forename: Emily B
authors.initials: EB
authors.lastname: Ridgway
authors.forename: Chen
authors.initials: C
authors.lastname: Chen
authors.forename: Bernard T
authors.initials: BT
authors.lastname: Lee
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002921:Cicatrix / Q000209:etiology; D003228:Conjunctiva / Q000601:surgery*; D004774:Entropion / Q000209:etiology*; D005143:Eyelids / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation; D006801:Humans; D008297:Male; D008440:Maxillary Fractures / Q000601:surgery; D008875:Middle Aged; D009917:Orbital Fractures / Q000601:surgery*; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000009:adverse effects; D012189:Retrospective Studies; D013526:Surgical Mesh; D055815:Young Adult; D015051:Zygomatic Fractures / Q000601:surgery*