To define and analyze belt buckle ectropion as a distinct mechanism of lower eyelid malposition following Mohs reconstruction, highlighting its novelty.
Key Findings:
Belt buckle ectropion is caused by horizontal tension on a lax tarsus, differing from cicatricial ectropion.
All cases showed anterior tarsal tilt without vertical skin shortage.
Successful correction of ectropion was achieved through lateral tarsal strip procedures in two cases.
Interpretation:
Recognition of belt buckle ectropion is crucial for accurate diagnosis and appropriate surgical management, differentiating it from cicatricial ectropion.
Limitations:
Small sample size of three patients limits generalizability.
Retrospective nature may introduce bias in outcomes assessment.
Lack of long-term follow-up data.
Conclusion:
Belt buckle ectropion is a distinct post-reconstructive eyelid malposition that can be effectively managed with horizontal tarsal tightening, avoiding unnecessary skin grafts. Recognizing this condition is vital for appropriate clinical practice.
