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Dr. Taslima Sultana is a Consultant in Burn and Plastic Surgery Department, Dhaka Medical College Hospital, Dhaka, Bangladesh. She has Completed her post-graduation ;MS in Plastic surgery from Dhaka Medical College in July,2016. She is now dealing mainly Burn patients and doing a lot of reconstructive plastic surgery but she is passionate about aesthetic plastic surgery also. During her residency she has done research on upper eyelid ectropion correction technique and create an innovative technique on post burn ectropion correction. Her article accepted for international presentation in 11th Asia Pacific Burn Congress ,Taiwan,2017 , 18th ASEAN Congress of Plastic Surgery 2017 , Bangkok Riverside, Bangkok , Thailand and 17th European Burns Association Congress , Barcelona, Spain. Her research interest is in Aesthetic surgery and Post Burn Scar Contracture Reconstruction.
Background: This study describes the procedure of 40% over correction needed in case of upper eyelid post burn cicatricial ectropion release and coverage with FTSG as FTSG have more primary contraction potential. Methods: This was a prospective observational study done in the Department of Plastic Surgery, Dhaka Medical College Hospital, Dhaka, from January 2015 to December 2015. 40% over correction with FTSG was used in the treatment of 21 upper eyelid ectropion of 20 patient. Vertical distance between lower eyelid margin to malar fold was divided into 3 equal portions with 2 imaginary line when 1 portion equals to 33% (approx.). Release of ectropion was such extent that upper lid margin should touch the mid point of middle portion of the defined area or goes beyond the mid point. Then it assumed that adequate 40% over correction is achieved. Post-operative complete eyelid closure and graft take were used as outcome measures. Result: A total of 14 eyelids of male and 7 eyelids of female made up the study groups. After release and overcorrection wound dimension was mean horizontal length 40.86 ± 5.50 mm. Minimum HL is 30 mm and maximum is 60 mm. Mean vertical length is 29.86 ± 4.28 mm. Minimum VL is 21 mm and maximum is 36 mm. In 19 (90.48%) cases complete graft was obtained, 10% graft loss in 1(4.76%) case and 20% graft loss in 1 (4.76%) case survival. Palpebral fissure measurements were compared preoperative and post-operatively and p value was <0.001 in closed state, which was highly significant. Outcome were excellent in 12 (57.1%), satisfactory 7 (33.3%) and poor outcome in 2 (9.52%) cases. Conclusion: 40% over correction with full thickness skin graft may be used as a reasonable reconstructive option for post burn cicatricial upper eyelid ectropion. Keywords : Ectropion , Post Burn , Full Thickness Skin Graft , Overcorrection