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Purpose: The orbitoblepharophimosis syndrome is an autosomal-dominant congenital malformation involving the orbitopalpebral region. The condition is associated with orbital phimosis, upper eyelid ptosis, epicanthus and telecanthus., Material and Methods: We retrospectively reviewed the records of 60 patients with blepharophimosis who underwent surgery in the Hospital of Plastic Surgery in Polanica Zdrój from January 1975 to January 2006. The study population consisted of 23 (38.3%) females and 37 (61.7%) males patients whose age at the time of first surgical stage ranged from 1 to 48 years (mean 8 years). Surgical management consisted of epicanthus correction using modified technique of Mustardé followed by eyelid suspension to the frontalis muscle with using temporal fascia. In patients with orbitoblepharophimosis type II, correction of the lower lid ectropion and antimongoid slanting palpebral fissures, were performed before or after Mustardé procedure., Results: In our series of 60 patients, good result of treatment was obtained in 80.1% and satisfactory in 18.3% of patients. Poor outcome was obtained only in one patient with orbitoblepharophimosis type II., Conclusions: Orbitoblepharophimosis management should consists of gradual and complex surgical treatment. During the first stage epicanthus correction is performed. As a second stage, blepharoptosis is treated by frontalis suspension technique with using temporal fascia.

Purpose: Retrospective analysis of the results in the treatment of congenital blepharoptosis., Material and Methods: We retrospectively reviewed the records of 389 patients with blepharoptosis who underwent surgical treatment in the Hospital of Plastic Surgery in Polanica-Zdrój, from January 1976 to January 2005. The age of patients, degree of malformation and unilateral or bilateral occurrence of ptosis, was analyzed. Moreover, we studied treatment results of patients with blepharoptosis treated in our hospital and patients treated elsewhere, before admission to our hospital., Results: 218 patients from 327 operated in our hospital had levator muscle resections. After 6 months of observation 39 patients were qualified for surgical re-correction. 12 months after surgery 4 patients had recurrence of ptosis. Frontalis suspension technique with using the temporal fascia, was performed in 109 patients. After 6 months observation, 8 patients were qualified for surgical re-correction., Conclusions: For patients with maintained function of the levator muscle the most effective and physiological procedure, is the muscle shortening. Frontalis suspension technique with use of the temporal fascia should be limited to treat failure cases and patients with poor or absent function of the levator muscle.

The aim of the study was to assess the outcome of treatment of entropion by means of mucous and cartilage grafts, harvested from the nasal septum. From 1989 to 2004 thirteen patients with entropion resulting from chemical and thermal burning or mechanical trauma were treated at the Hospital of Plastic Surgery in Polanica Zdr6j. Upper eyelid deformities were corrected in 14 cases, while the lower eyelid was repaired in 3 cases. Blepharotomy was performed by means of subciliary incision. Compound mucous and cartilage grafts harvested from the nasal septum, were sutured into the defects. Very good results and complete resolution of contractures were obtained in 15 cases, while 2 patients underwent a repeated surgery in which compound grafts were used again. According to the author's opinion, the above described method is an effective modality of treatment of cicatricial entropion.