J Korean Soc Plast Reconstr Surg.  2003 May;30(3):355-358.

Correction Upper Eyelid Retraction with Nasal Septal Cartilage-Mucosa Composite Graft

• Lee KH
• Choi YS
• Lim JS
• Han KT

Abstract

The retraction of the upper eyelid is associated with thyroid dysfunction, facial palsy, trauma, and overcorrection of ptosis and also occurs iatrogenically after eyelid or orbital surgery. In this condition, corneal exposure leads to discomfort, epiphora, and corneal irritation. Moreover increased showing of sclera above corneal limbus is considered one of cosmetic defect. Treatment modalities may be either medical or surgical. The medical treatments consists of control of thyroid dysfunction, steroid, sympatholytics. Many authors described surgical correction; recession of levator palpebral muscle or M ller muscle and graft matrix. The difficulties in surgical treatment consist of unpredictability of levator-M ller muscle manipulation, and healing of grafted material. Two patients have been operated with using of septal cartilage-mucosa composite graft. nasal septal cartilage-mucosa composite graft is autologous, firm, thin and harvested easily. The result was satisfactory functionally and aesthetically.

Keyword

Eyelid retraction; Septal cartilage

MeSH Terms

Eyelids*
Facial Paralysis
Humans
Lacrimal Apparatus Diseases
Limbus Corneae
Orbit
Sclera
Sympatholytics
Thyroid Gland
Transplants*
Sympatholytics