Auricular cartilage graft in lower lid retraction repair, The Manchester experience
Author: Alexander Mitchell
Base Hospital / Institution: Manchester Royal Eye Hospital
ePoster presentation
Abstract ID: 25-290
Purpose
Lower lid retraction repair typically requires use of a spacer to augment the posterior lamella. There has been increased interest in the use of alternative matrices, including synthetic or animal derived materials. This retrospective study evaluates and demonstrates the results of the use of autologous auricular cartilage graft in patients who have undergone lower lid retractor repair at Manchester Royal Eye Hospital.
Methods
Retrospective case review of 9 patients undergoing 12 surgeries (3 bilateral, 6 unilateral) between 2018 and September 2024 by 2 surgeons, with a follow up period of 1 month to 6 years. The patients were aged 20 to 79, 2:7 Male:Female. 11 of the surgeries were rehabilitative in patients with thyroid eye disease, 1 in a patient with facial palsy. 11 were primary procedures, 1 was a revision post previous ORACLE spacer graft. Patients were categorised based on reported successful outcome and patient satisfaction, identification of surgical failures or post operative complications, and need for further corrective procedures.
Results
67% of operations (n=8) were unqualified successes, with no further issues identified post operatively. 25% (n=3) had correction of lid retraction, but required minor additional procedures, including 1 trimming of graft, 1 revision of contour, and 1 lateral canthal wound revision. 8% (n=1) required revision, due to retractor disinsertion. There were no not post operative infections at the donor site nor lower lid, with no post operative donor site issues identified.
Conclusion
Despite the increased use of alternative matrices, autologous auricular cartilage remains a safe, effective and quick technique for correction of lower lid retraction, with low associated material costs and favourable post operative course.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Anne | Cook | Manchester Royal Eye Hospital |
