Hard Palate Mucosa Grafts for Cicatricial Entropion. |
Seung Hee Baek, Yoon Duck Kim |
1Department of Ophthalmology, College of Medicine, Seoul National University, Seoul, Korea. 2Department of Ophthalmology, Samsung Medical Center, Seoul, Korea. |
경구개 점막을 이용한 반흔성 안검내반수술 |
백승희(Seung Hee Baek),김윤덕(Yoon Duck Kim) |
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Abstract |
Various surgical procedures have been described for correction of cicatricial entropion of the eyelid. Many of them fail to provide long-term correction and anatomic alteration which is the excessive scarring of the posterior lamella of the eyelid. Hard palate mucosa grafts provide a smooth mucosal surface to the cornea and buttress the scarred tissues of the posterior eyelid. Ten eyelids of eight patients underwent eyelid margin reconstruction using hard palate mucosa graft. Cicatricial entropions were secondary to chemical burn(2 patients), herpes zoster (1 patient), atopic dermatitis (1 patient), toxic epidermal necrolysis (1 patient) and Stevens-Johnson syndrome (3 patients). Surgical results in ten eyelids were satisfactory. The grafts contracted minimaIly, and the palatal donor site healing was completed in 2-4 weeks. |
Key Words:
Cicatricial entropion;Trichiasis;Hard palate mucosa graft |
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