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Standardized Anthropometric Evaluation of Ectropion Repair Results

Raschke, Gregor F. MD, DMD*; Rieger, Ulrich M. MD, PhD; Bader, Rolf-Dieter MD, DDS*; Schäfer, Oliver DMD; Schultze-Mosgau, Stefan MD, DDS*

Journal of Craniofacial Surgery: July 2012 - Volume 23 - Issue 4 - p 1032–1037
doi: 10.1097/SCS.0b013e3182505507
Original Articles

Background Before undergoing ectropion repair, most patients are concerned not only about the functional result, but also about their postoperative aesthetic appearance. Furthermore, there is an ongoing discussion in the literature about the influence of various surgical techniques on eyelid function and morphology. We present a photograph-assisted evaluation for preoperative planning, intraoperative estimation, and postoperative evaluation of ectropion surgery based on anthropometric measurements and clinical data.

Patients and Methods From January 2008 to December 2010, 36 ectropion patients underwent a lateral tarsorrhaphy or fascial sling repair. An analysis of standardized preoperative and postoperative photographs included measurements of intercanthal width, biocular width, eye fissure width, eye fissure height, lid sulcus height, upper lid height, upper iris coverage, lower iris coverage, position of cornea to palpebra inferior, canthal tilt, scleral show, and ectropion.

Results Eye fissure index (P < 0.01) and lower iris coverage (P < 0.01) were statistically significantly influenced by surgery and time. The rates of scleral show (P < 0.01) and ectropion (P < 0.01) were significantly influenced, too. The 2 applied surgical techniques, lateral tarsorrhaphy and fascial sling repair, presented no significantly different effect in the preoperative to postoperative measurements.

Conclusions In all analyzed patients, the performed measurements were reproducible and reliable. The methods described may help to estimate the necessary extent of correction in ectropion repair surgery. Furthermore, intraoperatively performed measurements could be compared with the postoperative results.

From the *Department of Cranio-Maxillofacial & Plastic Surgery, Friedrich Schiller University of Jena, Jena, Germany; †Department of Plastic, Reconstructive & Hand Surgery, Innsbruck Medical University, Innsbruck, Austria; and ‡Interdisciplinary Research Group of Computational Medicine, Friedrich Schiller University of Jena, Jena, Germany.

Received January 4, 2012.

Accepted for publication February 10, 2012.

Address correspondence and reprint requests to Gregor F. Raschke, MD, DMD, Department of Cranio-Maxillofacial Surgery & Plastic Surgery, Friedrich Schiller University of Jena, D-07740 Jena, Germany; E-mail:

The authors report no conflicts of interest.

© 2012 Mutaz B. Habal, MD