Medial ectropion. A new technique
R. L. Anderson, M. U. Hatt and R. Dixon
Medial ectropion of the lower lid responds poorly to standard ectropion
procedures. This region contains the initial parts of the nasolacrimal
excretory system, which must be functionally reestablished. A new surgical
approach to medial ectropion consists of a Z-plasty transposition skin flap
from the upper to the lower lid, a plication of the lower crus of the
medial canthal tendon, and a punctoplasty. The posterior and superior
contraction forces in the transposition flap enhance and maintain the
result. Seven lids have been successfully operated on with this technique
from the functional and cosmetic point of view.
