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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
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
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

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

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
Surgical therapy of the eyelids in patients with facial paralysis.
Freeman MS, Thomas JR, Spector JG, Larrabee WF, Bowman CA
Laryngoscope 1990 Oct;100(10 Pt 1):1086-96. doi: 10.1288/00005537-199010000-00012. PMID: 2215041
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

Simultaneous Reconstruction of Smiling Eye Using V-Shaped Long Latissimus Dorsi Muscle Transfer in Patients with Flaccid Facial Paralysis.
Okazaki M, Miyamoto S, Tomioka Y, Fujisawa K
Plast Reconstr Surg 2024 Oct 1;154(4):873-878. Epub 2023 Sep 26 doi: 10.1097/PRS.0000000000011087. PMID: 37749795
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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