Paralytic ectropion can be corrected with static procedure or dynamic procedure, and there are various methods in each procedure, but it has been difficult to make a success in the severe type of paralytic ectropion because conventional methods were a...
Paralytic ectropion can be corrected with static procedure or dynamic procedure, and there are various methods in each procedure, but it has been difficult to make a success in the severe type of paralytic ectropion because conventional methods were apt to correct paralytic ectropion by single method without considering simultaneous compound correction about laxity of orbicularis/canthal tendon complex, loss of support of tarsal plate, atrophy of lower eyelid which concomittently complicated in paralytic ectropion. Some recent methods include different types of cartilage graft and skin flap, and all were done to augment the atophied lower eyelid and to support the tarsal plate, so author named these methods using as augmentation procedure. Based on these findings, combined method using static procedure to correct laxity of orbicularis/canthal tendon complex and augmentation procedure to correct atrophy of lower eyelid and to support the tarsal plate were used for the 41 patients (52 eyelids) with paralytic ectropion from March 1995. to February 1996., and the method was proved as useful in correction of paralytic ectropion. We recommend the combined method to correct paralytic ectropion instead of a single method.