PMID- 35130205
OWN - NLM
STAT- MEDLINE
DCOM- 20220309
LR  - 20230923
IS  - 1536-3708 (Electronic)
IS  - 0148-7043 (Linking)
VI  - 88
IP  - 3
DP  - 2022 Mar 1
TI  - Burn Scar Ectropion Correction: Surgical Technique for Functional Outcomes.
PG  - 271-276
LID - 10.1097/SAP.0000000000003047 [doi]
AB  - BACKGROUND: Eyelid scarring after severe burn injury of the face is a significant 
      complication endangering vision in addition to the burn scar sequelae. Scar 
      contraction leads to asymmetry and malposition of the eyelid axis, resulting in 
      corneal exposure, eyelid retraction, and incomplete eyelid closure. In 
      consequence, dryness and irritation of the cornea can lead to keratitis, corneal 
      opacity, and vision impairment. In this study, we present our surgical technique 
      for lateral canthopexy in combination with full-thickness skin grafting (FTSGing) 
      in patients with eyelid axis distortion after scar contraction of the periorbital 
      region after severe burn injuries of the face. METHODS: In this retrospective, 
      single-center case study, we present 5 consecutive patients who experienced 
      severe burn injuries to the face between 2014 and 2019. Patients were suffering 
      from ectropion and malposition of the eyelid axis. In all cases, we performed 
      lateral transosseous canthopexy and FTSGing. RESULTS: Improved symmetry and 
      complete eyelid closure were restored in all 5 patients. The following 
      ophthalmological examinations showed resolved corneal erosions, as well as 
      reduction of chemosis and epiphora. Further vision impairment was successfully 
      prohibited. Surgical revision with FTSGing was required in 2 patients because of 
      recurrence of unilateral lower eyelid retraction. CONCLUSIONS: Lateral 
      transosseous canthopexy represents a suitable surgical method to durably correct 
      eyelid malposition, ectropion, and incomplete lid closure in patients with severe 
      scarring of the periorbital region after burns of the face. Early detection of 
      patients at risk and timing of surgical intervention are of great importance.
CI  - Copyright (c) 2022 Wolters Kluwer Health, Inc. All rights reserved.
FAU - Zucal, Isabel
AU  - Zucal I
AD  - From the Department of Plastic Surgery and Hand Surgery, Burn Center, University 
      Hospital Zurich, Zurich.
FAU - Waldner, Matthias
AU  - Waldner M
AD  - From the Department of Plastic Surgery and Hand Surgery, Burn Center, University 
      Hospital Zurich, Zurich.
FAU - Shojaati, Golnar
AU  - Shojaati G
AD  - Department of Ophthalmology, Cantonal Hospital Winterthur, Winterthur.
FAU - Schweizer, Riccardo
AU  - Schweizer R
AD  - From the Department of Plastic Surgery and Hand Surgery, Burn Center, University 
      Hospital Zurich, Zurich.
FAU - Klein, Holger J
AU  - Klein HJ
AD  - From the Department of Plastic Surgery and Hand Surgery, Burn Center, University 
      Hospital Zurich, Zurich.
FAU - Giovanoli, Pietro
AU  - Giovanoli P
AD  - From the Department of Plastic Surgery and Hand Surgery, Burn Center, University 
      Hospital Zurich, Zurich.
FAU - Plock, Jan A
AU  - Plock JA
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Ann Plast Surg
JT  - Annals of plastic surgery
JID - 7805336
SB  - IM
MH  - *Blepharoplasty
MH  - *Burns/complications/surgery
MH  - Cicatrix/complications/surgery
MH  - *Ectropion/etiology/surgery
MH  - Humans
MH  - Retrospective Studies
COIS- Conflicts of interest and sources of funding: J.A.P. has received or receives 
      speaker honorarium or consultancy fees from Mediwound Germany, Integra 
      Lifesciences, Nanomedic Technologies (Israel), Polymedics Innovations GmbH 
      (Germany), and KCI/Acelity Inc. For the remaining authors, none were declared.
EDAT- 2022/02/08 06:00
MHDA- 2022/03/11 06:00
CRDT- 2022/02/07 17:12
PHST- 2022/02/07 17:12 [entrez]
PHST- 2022/02/08 06:00 [pubmed]
PHST- 2022/03/11 06:00 [medline]
AID - 00000637-202203000-00005 [pii]
AID - 10.1097/SAP.0000000000003047 [doi]
PST - ppublish
SO  - Ann Plast Surg. 2022 Mar 1;88(3):271-276. doi: 10.1097/SAP.0000000000003047.