Journal of the Korean Ophthalmological Society 2000;41(11):2319-2326.
Published online November 1, 2000.
Hard Palate Mucosa Grafts for Lower Lid Retraction.
Yong Myeong Kim, Moo Gon Son, Yoon Duck Kim
1Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University Scool of Medicine #50 Ilwon-dong, Kangnam-ku, Seoul, 135-710, Korea.
2Department of Ophthalmology, College of Medicine, Ulsan University, Asan Medical Center, Seoul, Korea.
경구개 점막을 이용한 하안검후퇴 교정술
손무곤(Moo Gon Son),김윤덕(Yoon Duck Kim),김용명(Yong Myeong Kim)
Abstract
Lower eyelid retraction is usually managed by recession of the lower lid retractors and interposition of a spacer graft including ear cartilage, nasal septal cartilage, donor sclera or autogenous tarsoconjunctiva.We have used hard palate mucosa as a spacer in 10 patients (11 eyelids)with lower lid retraction.Average age at operation was 36 years with the range of 10 years to 59 years.Causes of the lower lid retraction were thyroid ophthal-mopathy (4 eyelids), strabismus surgery (2 eyelids), entropion repair (2 eye-lids), eyelid infection (2 eyelids), and trauma (1 eyelid).Of 11 eyelids, 7 eye-lids were combined with entropion due to the shortage of posterior lamella. The follow-up period ranged from 3 to 45 months (mean 17 months).Surgi-cal results in all 11 eyelids were satisfactory.There was no complication in donor site.Hard palate closely approximates lower lid tarsus in terms of contour, thickness, and stiffness, provides a mucosal surface and shows only minimal shrinkage. We suggest hard palate mucosal grafts as one of the best available spacer material for the treatment of lower lid retraction.
Key Words: Hard palate mucosa;Lower lid retraction;Spacer


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