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. 2016 Jun;17(2):63-67.
doi: 10.7181/acfs.2016.17.2.63. Epub 2016 Jun 21.

Use of Triamcinolone Acetonide to Treat Lower Eyelid Malposition after the Subciliary Approach

Hyun June Park  1 , Kyung Min Son  1 , Woo Young Choi  1 , Ji Seon Cheon  1 , Jeong Yeol Yang  1
Affiliations

Use of Triamcinolone Acetonide to Treat Lower Eyelid Malposition after the Subciliary Approach

Hyun June Park et al. Arch Craniofac Surg. 2016 Jun.

Abstract

Background: The subciliary approach is commonly used for reconstruction of orbital wall or zygomaticomaxillary fractures. However, this approach is associated with postoperative complications, especially lower eyelid malposition. We report the experience of managing postoperative lower eyelid malposition with triamcinolone acetonide.

Methods: A retrospective review was performed for all traumatic facial fractures requiring surgery via the subciliary approach at Chosun University Hospital in 2014. For each patient meeting inclusion criteria, the medical chart was reviewed for demographic information and postoperative course, including the presence of postoperative eyelid malposition or scleral show.

Results: The review identified 189 cases in which the subciliary approach was used, and postoperative lower eyelid malposition was found in 7 cases (3.7%). For these 7 patients, the mean therapeutic period (interval to correction of the malposition) was 10.5 weeks (range, 8 to 14 weeks). On average, patients received 3 injections of triamcinolone. In all cases, degrees of the malposition were improved, and none of the patients required an operative intervention to correct the malposition.

Conclusion: Triamcinolone injection is an appropriate treatment modality for lower eyelid malposition after subciliary approach. Treatment duration is relatively short, requiring fewer than 4 outpatient clinic visits, with relatively earlier recovery compared to conservative "wait-and-see" management.

Keywords: Ectropion; Eyelid; Triamcinolone.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1. Degree of lower eyelid malposition measured by the ratio of the distance from the corneal light reflex point to the border of the lower eyelid between the side with ectropion A and the normal side B.
Fig. 2
Fig. 2. (A-C) A 20-year-old man with a right-sided blow-out fracture was treated via the subciliary approach. Photographs from the sequential follow-up visits.
Fig. 3
Fig. 3. (A-C) A 72-year-old woman with a right-sided orbitozygomatic fracture, which wastreated via the subciliary approach. Photographs from the sequential follow-up visits.
See this image and copyright information in PMC

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