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Paralytic ectropion

MedGen UID:
705090
•Concept ID:
C1282204
•
Disease or Syndrome
Synonym: paralytic ectropion
SNOMED CT: Paralytic ectropion (314510001)
 
HPO: HP:0500069

Definition

A type of ectropion associated with orbicularis muscle weakness caused by cranial nerve VII palsy. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVParalytic ectropion

Professional guidelines

PubMed

Survey: management of paralytic lagophthalmos and paralytic ectropion.
Tucker SM, Santos PM
Otolaryngol Head Neck Surg 1999 Jun;120(6):944-5. doi: 10.1016/S0194-5998(99)70345-1. PMID: 10352458
Management of paralytic ectropion.
Rosenberg S, Goldfarb M
Ann Ophthalmol 1981 Sep;13(9):1063-5. PMID: 7041761

Recent clinical studies

Etiology

Lateral Tarsal Strip versus Tensor Fascia Lata Sling for Paralytic Ectropion: Comparison and Long-Term Outcomes.
Sanchez CV, Thachil R, Mitchell DN, Reisch JS, Rozen SM
Plast Reconstr Surg 2024 Jan 1;153(1):148e-159e. Epub 2023 Apr 13 doi: 10.1097/PRS.0000000000010533. PMID: 37053441
Outcomes From Lateral Eyelid Coupling for Facial Paralysis Using the Modified Tarsoconjunctival Flap.
Dedhia R, Hsieh TY, Chin O, Shipchandler TZ, Tollefson TT
JAMA Facial Plast Surg 2018 Sep 1;20(5):381-386. doi: 10.1001/jamafacial.2018.0070. PMID: 29621372Free PMC Article
Vertical-to-Horizontal Rotational Myocutaneous Flap for Repairing Cicatricial Lower Lid Ectropion: A Novel Surgical Technique.
Chang YF, Tsai CC, Kau HC, Liu CJ
Biomed Res Int 2017;2017:8614580. Epub 2017 Oct 18 doi: 10.1155/2017/8614580. PMID: 29181406Free PMC Article
Transnasal tendon suspension for the paralyzed lower eyelid.
Yoo J, Matic D
J Plast Reconstr Aesthet Surg 2015 Aug;68(8):1072-8. Epub 2015 Apr 20 doi: 10.1016/j.bjps.2015.04.008. PMID: 26013189
Modified auricular cartilage sling for paralytic ectropion.
Watanabe A, Katori N, Selva D, Hayashi K, Kinoshita S
J Plast Reconstr Aesthet Surg 2015 Jul;68(7):902-6. Epub 2015 Mar 23 doi: 10.1016/j.bjps.2015.03.019. PMID: 25840523

Diagnosis

Single-stage repair of paralytic ectropion using a novel modification of the tarsoconjunctival flap.
Sufyan AS, Lee HB, Shah H, Nunery WR, Kokoska MS, Shipchandler TZ
JAMA Facial Plast Surg 2014 Mar-Apr;16(2):151-2. doi: 10.1001/jamafacial.2013.2343. PMID: 24458210
The use of a polyglactin suture in the lateral tarsal strip procedure.
Hsuan J, Selva D
Am J Ophthalmol 2004 Oct;138(4):588-91. doi: 10.1016/j.ajo.2004.05.060. PMID: 15488785

Therapy

Temporary ectropion therapy by adhesive taping: a case study.
Schrom T, Habermann A
Head Face Med 2008 Jul 21;4:12. doi: 10.1186/1746-160X-4-12. PMID: 18638420Free PMC Article
Paralytic ectropion: a complication of malar implant surgery.
Logani SC, Conn H, Logani S, Terino EO
Ophthalmic Plast Reconstr Surg 1998 Mar;14(2):89-93. PMID: 9558664
The management of ectropion using the tarsoconjunctival composite graft.
Shaw GY, Khan J
Arch Otolaryngol Head Neck Surg 1996 Jan;122(1):51-5. doi: 10.1001/archotol.1996.01890130045007. PMID: 8554747
Efficacy of surgical treatment for paralytic ectropion.
Lisman RD, Smith B, Baker D, Arthurs B
Ophthalmology 1987 Jun;94(6):671-81. doi: 10.1016/s0161-6420(87)33395-0. PMID: 3627716
Sequelae of botulinum toxin injection.
Lingua RW
Am J Ophthalmol 1985 Aug 15;100(2):305-7. doi: 10.1016/0002-9394(85)90797-4. PMID: 4025471

Prognosis

Long-Term Outcome of Combined Lateral Tarsal Strip With Temporal Permanent Tarsorrhaphy for Correction of Paralytic Ectropion Caused By Facial Nerve Palsy.
Kwon KY, Jang SY, Yoon JS
J Craniofac Surg 2015 Jul;26(5):e409-12. doi: 10.1097/SCS.0000000000001875. PMID: 26086924
Transnasal tendon suspension for the paralyzed lower eyelid.
Yoo J, Matic D
J Plast Reconstr Aesthet Surg 2015 Aug;68(8):1072-8. Epub 2015 Apr 20 doi: 10.1016/j.bjps.2015.04.008. PMID: 26013189
Modified auricular cartilage sling for paralytic ectropion.
Watanabe A, Katori N, Selva D, Hayashi K, Kinoshita S
J Plast Reconstr Aesthet Surg 2015 Jul;68(7):902-6. Epub 2015 Mar 23 doi: 10.1016/j.bjps.2015.03.019. PMID: 25840523
Temporary ectropion therapy by adhesive taping: a case study.
Schrom T, Habermann A
Head Face Med 2008 Jul 21;4:12. doi: 10.1186/1746-160X-4-12. PMID: 18638420Free PMC Article
Sequelae of botulinum toxin injection.
Lingua RW
Am J Ophthalmol 1985 Aug 15;100(2):305-7. doi: 10.1016/0002-9394(85)90797-4. PMID: 4025471

Clinical prediction guides

Outcomes From Lateral Eyelid Coupling for Facial Paralysis Using the Modified Tarsoconjunctival Flap.
Dedhia R, Hsieh TY, Chin O, Shipchandler TZ, Tollefson TT
JAMA Facial Plast Surg 2018 Sep 1;20(5):381-386. doi: 10.1001/jamafacial.2018.0070. PMID: 29621372Free PMC Article
Paralytic ectropion: a complication of malar implant surgery.
Logani SC, Conn H, Logani S, Terino EO
Ophthalmic Plast Reconstr Surg 1998 Mar;14(2):89-93. PMID: 9558664

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