{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T13:55:53Z","timestamp":1774619753311,"version":"3.50.1"},"reference-count":13,"publisher":"Wiley","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Taipei Veterans General Hospital, Taiwan","award":["V106-C-008"],"award-info":[{"award-number":["V106-C-008"]}]},{"name":"Taipei Veterans General Hospital, Taiwan","award":["106-2314-B-075-038-MY2"],"award-info":[{"award-number":["106-2314-B-075-038-MY2"]}]},{"DOI":"10.13039\/501100004663","name":"Ministry of Science and Technology, Taiwan","doi-asserted-by":"publisher","award":["V106-C-008"],"award-info":[{"award-number":["V106-C-008"]}],"id":[{"id":"10.13039\/501100004663","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004663","name":"Ministry of Science and Technology, Taiwan","doi-asserted-by":"publisher","award":["106-2314-B-075-038-MY2"],"award-info":[{"award-number":["106-2314-B-075-038-MY2"]}],"id":[{"id":"10.13039\/501100004663","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2017]]},"abstract":"<jats:p><jats:italic>Objective<\/jats:italic>. To evaluate the efficacy and complications of a novel surgical technique for cicatricial lower lid ectropion that uses a vertical-to-horizontal (V-to-H) rotational myocutaneous flap procedure (Tsai procedure).<jats:italic> Methods<\/jats:italic>. We performed the V-to-H rotational myocutaneous flap procedure on 20 eyelids in 20 patients with mild to moderate cicatricial lower lid ectropion. A vertical myocutaneous flap was created from the anterior lamella of the vertical pedicle in the lateral third of the lower eyelid. Following a horizontal relaxing incision from the base of the flap, a vertical myocutaneous flap was created and rotated to horizontal. Two patients with combined cicatricial ectropion and paralytic lagophthalmos simultaneously underwent additional lateral tarsorrhaphy.<jats:italic> Results<\/jats:italic>. After a minimum follow-up period of 6 months, all patients showed good anatomical and functional improvement with decreased dependence on topical lubricants and a satisfactory cosmetic appearance. Two patients with combined cicatricial and paralytic ectropion had mild residual asymptomatic lagophthalmos. No patients required further revision surgery and there were no complications or recurrence.<jats:italic> Conclusion<\/jats:italic>. The V-to-H rotational myocutaneous flap technique was an effective and simple one-stage procedure for correcting cicatricial lower lid ectropion. It lengthened the anterior lamella and tightened horizontal eyelid laxity without the need for a free skin graft.<\/jats:p>","DOI":"10.1155\/2017\/8614580","type":"journal-article","created":{"date-parts":[[2017,10,18]],"date-time":"2017-10-18T19:32:43Z","timestamp":1508355163000},"page":"1-6","source":"Crossref","is-referenced-by-count":8,"title":["Vertical-to-Horizontal Rotational Myocutaneous Flap for Repairing Cicatricial Lower Lid Ectropion: A Novel Surgical Technique"],"prefix":"10.1155","volume":"2017","author":[{"given":"Yu-Fan","family":"Chang","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan"},{"name":"School of Medicine, National Yang-Ming University, Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4411-3387","authenticated-orcid":true,"given":"Chieh-Chih","family":"Tsai","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan"},{"name":"School of Medicine, National Yang-Ming University, Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui-Chuan","family":"Kau","sequence":"additional","affiliation":[{"name":"School of Medicine, National Yang-Ming University, Taipei, Taiwan"},{"name":"Department of Ophthalmology, Koo Foundation Sun Yat-Sen Cancer Center, Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine Jui-Ling","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan"},{"name":"School of Medicine, National Yang-Ming University, Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1097\/00055735-200010000-00010"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.3109\/08820538.2010.488570"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.13710"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0000000000000524"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1002\/hed.22934"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/S0305-4179(99)00026-1"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1097\/00002341-199006000-00007"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-006-0165-x"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000000605"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajoc.2017.06.017"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/j.fsc.2015.12.006"},{"issue":"6","key":"12","first-page":"269","volume":"18","year":"1983","journal-title":"Canadian Journal of Ophthalmology"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-9071.2006.01302.x"}],"container-title":["BioMed Research International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2017\/8614580.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2017\/8614580.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2017\/8614580.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,10,18]],"date-time":"2017-10-18T19:32:46Z","timestamp":1508355166000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/bmri\/2017\/8614580\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017]]},"references-count":13,"alternative-id":["8614580","8614580"],"URL":"https:\/\/doi.org\/10.1155\/2017\/8614580","relation":{},"ISSN":["2314-6133","2314-6141"],"issn-type":[{"value":"2314-6133","type":"print"},{"value":"2314-6141","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017]]}}}