Treatment of paralytic ectropion with composite chondrocutaneous graft.

We present our experience with correction of paralytic ectropion in 10 patients with a composite chondrocutaneous graft obtained from the scapha of the ear. This large composite graft is sutured to the tarsal plate to support the lower lid. It prevented exposure keratitis in all patients. Two patients needed minor secondary revisions of the corners of the cartilage graft. The donor defect healed satisfactorily without deforming the ear. There were no other complications and no other lid or visual problems. At 3-year follow-up, the results thus far appear long lasting.