Acquired entropion associated with the transconjunctival incision for facial fracture management.
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.
Ridgway
Emily B
EB
Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 110 Francis Street, Boston, MA 02215, USA.
Chen
Chen
C
Lee
Bernard T
BT
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*