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Use of Nasal Septum and Mucosa for Severely Cicatrized Eyelid Entropion

Alston Callahan, MD

Arch Ophthalmol. 1976;94(7):1154-1155.

Abstract
• The resistant entropion, especially of the upper lid, that results from the persistent contraction of the conjunctiva after Stevens-Johnson syndrome is difficult to correct. Grafts of buccal mucosa have relieved this condition for only a few weeks or months. Because of the rigidity of the nasal septum, a sector of this structure, with the perichondrium and mucosa intact on one side, has been grafted into the posterior layer of the upper lid at the margin to turn the lashes and skin away from the globe. For more than two years postoperatively, this graft of septal mucosa has relieved patients of their entropion, and from all indications this correction will be permanent.

Author Affiliations
From the Eye Foundation Hospital, Birmingham, Ala.

Footnotes
Accepted for publication Oct 22, 1975.

Reprint requests to Eye Foundation Hospital, 1720 Eighth Ave S, Birmingham, AL 35233 (Dr Callahan).

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