Dr.Salil Kumar Mandal, Dr. TAMOJIT CHATTERJEE, Dr. MADHUMITA BANERJEE
Post traumatic vertical scar produce anguler deformity of the lid causes ectropion ,lagophthalmos and exposure keratitis .This video shows cosmetic and functional outcome to correct the anguler deformity and ectropion of the lid by double Z-Plasty. Vertical scar tissue excised along with tarsal plate thus release the traction force. Double Z line drawn and incised accordingly. Quadrangular flap formed and transposed in triangular fashion thus change direction of the scar contraction line thus angular deformity and ectropion is corrected.Post operatively All the patient had satisfactory cosmetic, anatomical and functional outcome . No such recurrence of the deformity in one year follow up period.Double Z-pasty is effective in treating post traumatic ugly scar formation with anguler deformity and ectropion of lid. It has excellent cosmetic, anatomic and functional outcome