Surgical Correction of Ectropion: Comparison Between Full Thickness Skin Grafts and Local Flaps

  • Saba Kiran Dow University of Health Sciences and Civil Hospital, Karachi Pakistan
  • Faisal Akhlaq Ali Khan Dow University of Health Sciences and Civil Hospital, Karachi Pakistan
  • Hyder Ali Dow University of Health Sciences and Civil Hospital, Karachi Pakistan
  • Suneel Kumar Dow University of Health Sciences and Civil Hospital, Karachi Pakistan
  • Waqas Sami Dow University of Health Sciences and Civil Hospital, Karachi Pakistan
  • Roqayyah Munawwer Khursheed Dow University of Health Sciences and Civil Hospital, Karachi Pakistan
Keywords: Ectroioon, Full thickness skin graft, Reconstruction technique, Local flap

Abstract

Objective: To compare the effectiveness of two reconstruction techniques, i.e., full-thickness skin graft and local flap, for patients undergoing reconstructive surgery for ectropion repair.

Study Design: Prospective comparative study.

Place and Duration of Study: Department of Plastic & Reconstructive Surgery, Dr Ruth K.M. Pfau Civil Hospital Karachi, from Feb to Aug 2020.

Methodology: The study was conducted after acquiring approval from the Institutional Review Board of Dow University of Health Sciences. Patients advised repairing ectropion were admitted to the ward prior to a day or night of the procedure. The consultant surgeon decided on the operative management, either using a full-thickness skin graft or a local flap, depending on the type of ectropion.

Results: 60 patients were recruited for the study, with 30 patients in each group. At follow-up of two weeks, one month, and three months’ skin colour match and pliability were significantly better in patients who received local flap than those treated with a full-thickness skin graft. Out of 30, 2 (6.7%) patients developed ectropion recurrence when they received full-thickness skin graft coverage, whereas ectropion recurrence was not observed in patients managed with local flap.

Conclusion: Local flap appears to be more effective than full-thickness skin graft in achieving excellent aesthetic effects in patients who underwent correction of ectropion.

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Published
2022-06-26
How to Cite
Kiran, S., Ali Khan, F., Ali, H., Kumar, S., Sami, W., & Khursheed, R. (2022). Surgical Correction of Ectropion: Comparison Between Full Thickness Skin Grafts and Local Flaps. PAFMJ, 72(3), 961-65. https://doi.org/10.51253/pafmj.v72i3.5348
Section
Original Articles