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Surgical Pearls
Mar/Apr 2014

Single-Stage Repair of Paralytic Ectropion Using a Novel Modification of the Tarsoconjunctival Flap

Author Affiliations
  • 1Department of Otolaryngology–Head and Neck Surgery, Indiana University School of Medicine, Indianapolis
  • 2Department of Ophthalmology, Indiana University School of Medicine, Indianapolis
JAMA Facial Plast Surg. 2014;16(2):151-152. doi:10.1001/jamafacial.2013.2343

Patients with facial paralysis present with a constellation of ocular manifestations. Ectropion resulting from downward displacement of the lower eyelid appears after loss of orbicularis tone and function.1 In addition, upper eyelid retraction, resulting in lagophthalmos and a decrease in tear production and/or proper tear distribution and channeling, may result in dry eyes and epiphora. Tear flow is impaired because of a dysfunctional orbicularis oculi muscle and a decrease in transportation of tears.2

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