Combined Lateral Tarsal Strip and U-Plasty Flap for Surgical Management of Cicatrical Ectropion After Facial Tumor Excision: A Case Report

Reynaldo; Ariawan Priguna

doi:doi:10.11648/j.ijmcr.20250402.11

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Combined Lateral Tarsal Strip and U-Plasty Flap for Surgical Management of Cicatrical Ectropion After Facial Tumor Excision: A Case Report

Reynaldo

, Ariawan Priguna

Published in International Journal of Medical Case Reports (Volume 4, Issue 2)

Received: 6 April 2025 Accepted: 15 April 2025 Published: 9 May 2025

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Abstract

Background: Cicatricial ectropion, characterized by outward eyelid eversion due to anterior lamella shortening, often results from scar contraction after trauma or surgery. Due to scar contracture, surgical intervention is challenging to repair the defect. This condition leads to poor eyelid-globe apposition, which can cause ocular surface exposure, excessive tearing, and chronic irritation Objective: To report a case and evaluate the effectiveness of combining a lateral tarsal strip with a U-plasty flap technique in correcting cicatrical ectropion following facial tumor excision. Main ideas: A 58-year-old woman developed cicatricial ectropion following a wide excision for facial tumor removal. The patient exhibited symptoms, including eye irritation, epiphora, and discomfort. Clinical examination revealed lower eyelid ectropion, dermatochalasis, and scar tissue contraction near the left lateral canthus and maxilla. The surgical approach involved a combination of a lateral tarsal strip procedure to address horizontal eyelid laxity and a U-plasty flap to repair scar-induced anterior lamella shortening. Results at the three-month follow-up indicated successful correction of eyelid malposition with mild residual ectropion but no corneal exposure or significant complications. The patient experienced a resolution of symptoms and showed good healing at the surgical site. Conclusion: The combined lateral tarsal strip and U-plasty techniques effectively corrected cicatricial ectropion, restoring eyelid function and achieving satisfactory aesthetic results. This approach may be considered as a reconstructive option in similar cases of scar-related anterior lamellar shortening.

Published in	International Journal of Medical Case Reports (Volume 4, Issue 2)
DOI	10.11648/j.ijmcr.20250402.11
Page(s)	26-30
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Cicatrical Ectropion, U-Plasty, Local Flap, Eyelid Reconstruction, Case Report

References

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[2]	Guthrie A, Kadakia P, Rosenberg J. Eyelid Malposition Repair: A Review of the Literature and Current Techniques. Semin Plast Surg 2019; 33: 092-102. https://doi.org/10.1055/s-0039-1685473
[3]	Hahn S, Desai SC. Lower Lid Malposition. Facial Plast Surg Clin North Am 2016; 24: 163-71. https://doi.org/10.1016/j.fsc.2015.12.006
[4]	Kopecký A, Rokohl AC, Heindl LM. The role of the lateral tarsal strip procedure in modern ophthalmic plastic surgery—A review. Frontiers in Ophthalmology 2022; 2. https://doi.org/10.3389/fopht.2022.871964
[5]	Khan AZ, Ueland HO, Bohman E, et al. Ectropion. Tidsskrift for Den Norske Legeforening 2024. https://doi.org/10.4045/tidsskr.23.0309
[6]	Tao BK, Dhivagaran T, Butt FR, et al. Ectropion Repair Techniques and the Role of Adjunctive Superotemporal Skin Transposition for Tarsal Ectropion. J Clin Med 2025; 14: 827. https://doi.org/10.3390/jcm14030827
[7]	Bergstrom R, Czyz CN. Ectropion Lower Eyelid Reconstruction. StatPearls, StatPearls Publishing; 2025.
[8]	Worley B, Huang JW, Macdonald J. Approach to treatment of cicatricial ectropion: a systematic review and meta-analysis comparing surgical and minimally invasive options. Arch Dermatol Res 2020; 312: 165-72. https://doi.org/10.1007/s00403-019-01983-0
[9]	Vahdani K, Thaller VT. Anterior lamellar deficit ectropion management. Eye 2021; 35: 929-35. https://doi.org/10.1038/s41433-020-0998-6
[10]	Fernández Canga P, Varas Meis E, Castiñeiras González J, et al. Ectropión en cirugía dermatológica: exploración y técnicas reconstructivas. Actas Dermosifiliogr 2020; 111: 229-35. https://doi.org/10.1016/j.ad.2019.06.004
[11]	Qureshi Z, Bernard A, Grisolia ABD, et al. Simplified technique for lateral canthal tendon canthopexy. Indian J Ophthalmol 2022; 70: 3403-8. https://doi.org/10.4103/ijo.IJO_3126_21
[12]	Hou X, Guo Y, Li S, et al. Lateral tarsal strip procedure for involutional ectropion: A retrospective analysis of 85 cases and a comprehensive literature review. Advances in Ophthalmology Practice and Research 2021; 1: 100004. https://doi.org/10.1016/j.aopr.2021.100004
[13]	Schopper H, Kriet JD, Humphrey C. Advancement flaps. Plast Aesthet Res 2022; 9. https://doi.org/10.20517/2347-9264.2021.72
[14]	Zehnder M, Läuchli S, Fosse N, et al. The Frost suture—A simple way to avoid ectropion of the lower eyelid. JEADV Clinical Practice 2022; 1: 299-301. https://doi.org/10.1002/jvc2.47
[15]	Lee KS, Kim JO, Kim NG, et al. A Comparison of the Local Flap and Skin Graft by Location of Face in Reconstruction after Resection of Facial Skin Cancer. Arch Craniofac Surg 2017; 18: 255-60. https://doi.org/10.7181/acfs.2017.18.4.255
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APA Style

Reynaldo, Priguna, A. (2025). Combined Lateral Tarsal Strip and U-Plasty Flap for Surgical Management of Cicatrical Ectropion After Facial Tumor Excision: A Case Report. International Journal of Medical Case Reports, 4(2), 26-30. https://doi.org/10.11648/j.ijmcr.20250402.11

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ACS Style

Reynaldo; Priguna, A. Combined Lateral Tarsal Strip and U-Plasty Flap for Surgical Management of Cicatrical Ectropion After Facial Tumor Excision: A Case Report. Int. J. Med. Case Rep. 2025, 4(2), 26-30. doi: 10.11648/j.ijmcr.20250402.11

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AMA Style

Reynaldo, Priguna A. Combined Lateral Tarsal Strip and U-Plasty Flap for Surgical Management of Cicatrical Ectropion After Facial Tumor Excision: A Case Report. Int J Med Case Rep. 2025;4(2):26-30. doi: 10.11648/j.ijmcr.20250402.11

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@article{10.11648/j.ijmcr.20250402.11,
  author = {Reynaldo and Ariawan Priguna},
  title = {Combined Lateral Tarsal Strip and U-Plasty Flap for Surgical Management of Cicatrical Ectropion After Facial Tumor Excision: A Case Report
},
  journal = {International Journal of Medical Case Reports},
  volume = {4},
  number = {2},
  pages = {26-30},
  doi = {10.11648/j.ijmcr.20250402.11},
  url = {https://doi.org/10.11648/j.ijmcr.20250402.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmcr.20250402.11},
  abstract = {Background: Cicatricial ectropion, characterized by outward eyelid eversion due to anterior lamella shortening, often results from scar contraction after trauma or surgery. Due to scar contracture, surgical intervention is challenging to repair the defect. This condition leads to poor eyelid-globe apposition, which can cause ocular surface exposure, excessive tearing, and chronic irritation Objective: To report a case and evaluate the effectiveness of combining a lateral tarsal strip with a U-plasty flap technique in correcting cicatrical ectropion following facial tumor excision. Main ideas: A 58-year-old woman developed cicatricial ectropion following a wide excision for facial tumor removal. The patient exhibited symptoms, including eye irritation, epiphora, and discomfort. Clinical examination revealed lower eyelid ectropion, dermatochalasis, and scar tissue contraction near the left lateral canthus and maxilla. The surgical approach involved a combination of a lateral tarsal strip procedure to address horizontal eyelid laxity and a U-plasty flap to repair scar-induced anterior lamella shortening. Results at the three-month follow-up indicated successful correction of eyelid malposition with mild residual ectropion but no corneal exposure or significant complications. The patient experienced a resolution of symptoms and showed good healing at the surgical site. Conclusion: The combined lateral tarsal strip and U-plasty techniques effectively corrected cicatricial ectropion, restoring eyelid function and achieving satisfactory aesthetic results. This approach may be considered as a reconstructive option in similar cases of scar-related anterior lamellar shortening.
},
 year = {2025}
}

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TY  - JOUR
T1  - Combined Lateral Tarsal Strip and U-Plasty Flap for Surgical Management of Cicatrical Ectropion After Facial Tumor Excision: A Case Report

AU  - Reynaldo
AU  - Ariawan Priguna
Y1  - 2025/05/09
PY  - 2025
N1  - https://doi.org/10.11648/j.ijmcr.20250402.11
DO  - 10.11648/j.ijmcr.20250402.11
T2  - International Journal of Medical Case Reports
JF  - International Journal of Medical Case Reports
JO  - International Journal of Medical Case Reports
SP  - 26
EP  - 30
PB  - Science Publishing Group
SN  - 2994-7049
UR  - https://doi.org/10.11648/j.ijmcr.20250402.11
AB  - Background: Cicatricial ectropion, characterized by outward eyelid eversion due to anterior lamella shortening, often results from scar contraction after trauma or surgery. Due to scar contracture, surgical intervention is challenging to repair the defect. This condition leads to poor eyelid-globe apposition, which can cause ocular surface exposure, excessive tearing, and chronic irritation Objective: To report a case and evaluate the effectiveness of combining a lateral tarsal strip with a U-plasty flap technique in correcting cicatrical ectropion following facial tumor excision. Main ideas: A 58-year-old woman developed cicatricial ectropion following a wide excision for facial tumor removal. The patient exhibited symptoms, including eye irritation, epiphora, and discomfort. Clinical examination revealed lower eyelid ectropion, dermatochalasis, and scar tissue contraction near the left lateral canthus and maxilla. The surgical approach involved a combination of a lateral tarsal strip procedure to address horizontal eyelid laxity and a U-plasty flap to repair scar-induced anterior lamella shortening. Results at the three-month follow-up indicated successful correction of eyelid malposition with mild residual ectropion but no corneal exposure or significant complications. The patient experienced a resolution of symptoms and showed good healing at the surgical site. Conclusion: The combined lateral tarsal strip and U-plasty techniques effectively corrected cicatricial ectropion, restoring eyelid function and achieving satisfactory aesthetic results. This approach may be considered as a reconstructive option in similar cases of scar-related anterior lamellar shortening.

VL  - 4
IS  - 2
ER  -

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Author Information

Reynaldo

Department of Ophthalmology, RSPAD Gatoto Soebroto, Jakarta, Indonesia

Contact Email

http://orcid.org/0009-0006-4272-4287
Ariawan Priguna

Department of Ophthalmology, Reconstructive Oculoplasty, RSPAD Gatoto Soebroto, Jakarta, Indonesia

Contact Email

http://orcid.org/0009-0006-0052-2708

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APA Style

Reynaldo, Priguna, A. (2025). Combined Lateral Tarsal Strip and U-Plasty Flap for Surgical Management of Cicatrical Ectropion After Facial Tumor Excision: A Case Report. International Journal of Medical Case Reports, 4(2), 26-30. https://doi.org/10.11648/j.ijmcr.20250402.11

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ACS Style

Reynaldo; Priguna, A. Combined Lateral Tarsal Strip and U-Plasty Flap for Surgical Management of Cicatrical Ectropion After Facial Tumor Excision: A Case Report. Int. J. Med. Case Rep. 2025, 4(2), 26-30. doi: 10.11648/j.ijmcr.20250402.11

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AMA Style

Reynaldo, Priguna A. Combined Lateral Tarsal Strip and U-Plasty Flap for Surgical Management of Cicatrical Ectropion After Facial Tumor Excision: A Case Report. Int J Med Case Rep. 2025;4(2):26-30. doi: 10.11648/j.ijmcr.20250402.11

Copy | Download

@article{10.11648/j.ijmcr.20250402.11,
  author = {Reynaldo and Ariawan Priguna},
  title = {Combined Lateral Tarsal Strip and U-Plasty Flap for Surgical Management of Cicatrical Ectropion After Facial Tumor Excision: A Case Report
},
  journal = {International Journal of Medical Case Reports},
  volume = {4},
  number = {2},
  pages = {26-30},
  doi = {10.11648/j.ijmcr.20250402.11},
  url = {https://doi.org/10.11648/j.ijmcr.20250402.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmcr.20250402.11},
  abstract = {Background: Cicatricial ectropion, characterized by outward eyelid eversion due to anterior lamella shortening, often results from scar contraction after trauma or surgery. Due to scar contracture, surgical intervention is challenging to repair the defect. This condition leads to poor eyelid-globe apposition, which can cause ocular surface exposure, excessive tearing, and chronic irritation Objective: To report a case and evaluate the effectiveness of combining a lateral tarsal strip with a U-plasty flap technique in correcting cicatrical ectropion following facial tumor excision. Main ideas: A 58-year-old woman developed cicatricial ectropion following a wide excision for facial tumor removal. The patient exhibited symptoms, including eye irritation, epiphora, and discomfort. Clinical examination revealed lower eyelid ectropion, dermatochalasis, and scar tissue contraction near the left lateral canthus and maxilla. The surgical approach involved a combination of a lateral tarsal strip procedure to address horizontal eyelid laxity and a U-plasty flap to repair scar-induced anterior lamella shortening. Results at the three-month follow-up indicated successful correction of eyelid malposition with mild residual ectropion but no corneal exposure or significant complications. The patient experienced a resolution of symptoms and showed good healing at the surgical site. Conclusion: The combined lateral tarsal strip and U-plasty techniques effectively corrected cicatricial ectropion, restoring eyelid function and achieving satisfactory aesthetic results. This approach may be considered as a reconstructive option in similar cases of scar-related anterior lamellar shortening.
},
 year = {2025}
}

Copy | Download

TY  - JOUR
T1  - Combined Lateral Tarsal Strip and U-Plasty Flap for Surgical Management of Cicatrical Ectropion After Facial Tumor Excision: A Case Report

AU  - Reynaldo
AU  - Ariawan Priguna
Y1  - 2025/05/09
PY  - 2025
N1  - https://doi.org/10.11648/j.ijmcr.20250402.11
DO  - 10.11648/j.ijmcr.20250402.11
T2  - International Journal of Medical Case Reports
JF  - International Journal of Medical Case Reports
JO  - International Journal of Medical Case Reports
SP  - 26
EP  - 30
PB  - Science Publishing Group
SN  - 2994-7049
UR  - https://doi.org/10.11648/j.ijmcr.20250402.11
AB  - Background: Cicatricial ectropion, characterized by outward eyelid eversion due to anterior lamella shortening, often results from scar contraction after trauma or surgery. Due to scar contracture, surgical intervention is challenging to repair the defect. This condition leads to poor eyelid-globe apposition, which can cause ocular surface exposure, excessive tearing, and chronic irritation Objective: To report a case and evaluate the effectiveness of combining a lateral tarsal strip with a U-plasty flap technique in correcting cicatrical ectropion following facial tumor excision. Main ideas: A 58-year-old woman developed cicatricial ectropion following a wide excision for facial tumor removal. The patient exhibited symptoms, including eye irritation, epiphora, and discomfort. Clinical examination revealed lower eyelid ectropion, dermatochalasis, and scar tissue contraction near the left lateral canthus and maxilla. The surgical approach involved a combination of a lateral tarsal strip procedure to address horizontal eyelid laxity and a U-plasty flap to repair scar-induced anterior lamella shortening. Results at the three-month follow-up indicated successful correction of eyelid malposition with mild residual ectropion but no corneal exposure or significant complications. The patient experienced a resolution of symptoms and showed good healing at the surgical site. Conclusion: The combined lateral tarsal strip and U-plasty techniques effectively corrected cicatricial ectropion, restoring eyelid function and achieving satisfactory aesthetic results. This approach may be considered as a reconstructive option in similar cases of scar-related anterior lamellar shortening.

VL  - 4
IS  - 2
ER  -

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