title: Cicatricial iatrogenic lower eyelid malposition in skin cancer surgery: results of a combined approach.
abstract: OBJECTIVE
  Malposition of the lower lid, including rounding of the lateral canthal angle, lower eyelid retraction with inferior scleral show, and ectropion, is a relatively frequent complication in the surgical treatment of skin cancer of the cheek and zygomatic areas. The tarsal strip technique, in association with a vertical vector cheek lift, is a reliable method for correcting lower lid malposition.
  
  
  METHODS
  From January 2008 to January 2010, we treated 19 patients with lower eyelid malposition after skin cancer surgery of the cheek and zygomatic areas. To correct lower eyelid malposition, we used the tarsal strip technique and a vertical vector cheek lift in all patients.
  
  
  RESULTS
  Eleven patients had scleral show and eight patients had ectropion. Sixteen patients obtained satisfactory correction of the eyelid malposition in a single surgical procedure, while three patients required a second surgical step to correct the remaining scleral show. Good esthetic and functional results were achieved in all cases.
  
  
  CONCLUSIONS
  The surgical treatment of skin cancer of the cheek and zygomatic areas has the potential for postoperative sequelae. The tarsal strip technique, in association with a vertical vector cheek lift, is a relatively simple technique for correcting scleral show and ectropion.
authors: Unit of Maxillofacial Surgery, Head and Neck Surgery Department, Modena and Reggio Emilia University, Modena, Italy. attiliocarlo.salgarelli@unimore.it
authors: Attilio Carlo
authors: AC
authors: Salgarelli
authors: Mariangela
authors: M
authors: Francomano
authors: Cristina
authors: C
authors: Magnoni
authors: Pierantonio
authors: P
authors: Bellini
mesh_terms: D000273:Adipose Tissue / Q000601:surgery; D000368:Aged; D002610:Cheek / Q000601:surgery; D002921:Cicatrix / Q000209:etiology / Q000601:surgery*; D004483:Ectropion / Q000209:etiology / Q000601:surgery; D004954:Esthetics; D005141:Eyelid Diseases / Q000209:etiology / Q000601:surgery*; D005143:Eyelids / Q000601:surgery; D005153:Facial Neoplasms / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation; D012590:Sclera / Q000473:pathology; D012878:Skin Neoplasms / Q000601:surgery*; D013710:Tendons / Q000601:surgery; D015050:Zygoma / Q000601:surgery