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Algorithm for the management of ectropion through medial and lateral canthopexy
BACKGROUND: Patients with ectropion experience devastating symptoms. Therefore, the preventionand management of this condition are of utmost importance. To treat ectropion, it is important to perform medial and lateral canthopexy in an effective way. In this study, we propose a comprehensive algorit...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Plastic and Reconstructive Surgeons
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6258983/ https://www.ncbi.nlm.nih.gov/pubmed/30466232 http://dx.doi.org/10.5999/aps.2018.00836 |
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author | Baek, Siook Chung, Jae-Ho Yoon, Eul-Sik Lee, Byung-Il Park, Seung-Ha |
author_facet | Baek, Siook Chung, Jae-Ho Yoon, Eul-Sik Lee, Byung-Il Park, Seung-Ha |
author_sort | Baek, Siook |
collection | PubMed |
description | BACKGROUND: Patients with ectropion experience devastating symptoms. Therefore, the preventionand management of this condition are of utmost importance. To treat ectropion, it is important to perform medial and lateral canthopexy in an effective way. In this study, we propose a comprehensive algorithm for the prevention and management of ectropion based on a new classification of ectropion according to its signs and causes. METHODS: Canthopexy was performed in 68 cases according to the proposed algorithm, which starts with a categorization of the types of ectropion and ends with the recommended operative technique. To assess the results, we reviewed clinical preoperative and postoperative photographs. To evaluate improvements in patients’ symptoms, we conducted a survey with responses scored on a Likert scale. RESULTS: None of the patients had scleral show postoperatively. The average patient satisfaction score was satisfied or higher for all symptoms, and the most improved symptom was aesthetic appearance. No major complications were reported. CONCLUSIONS: For the comprehensive management of ectropion, it is crucial to consider both treatment and prevention. Through the simple surgical algorithm proposed in this study, both medically acceptable results and high levels of patient satisfaction were achieved without significant postoperative complications. We recommend using this algorithm for the comprehensive management of ectropion. |
format | Online Article Text |
id | pubmed-6258983 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Korean Society of Plastic and Reconstructive Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-62589832018-11-30 Algorithm for the management of ectropion through medial and lateral canthopexy Baek, Siook Chung, Jae-Ho Yoon, Eul-Sik Lee, Byung-Il Park, Seung-Ha Arch Plast Surg Original Article BACKGROUND: Patients with ectropion experience devastating symptoms. Therefore, the preventionand management of this condition are of utmost importance. To treat ectropion, it is important to perform medial and lateral canthopexy in an effective way. In this study, we propose a comprehensive algorithm for the prevention and management of ectropion based on a new classification of ectropion according to its signs and causes. METHODS: Canthopexy was performed in 68 cases according to the proposed algorithm, which starts with a categorization of the types of ectropion and ends with the recommended operative technique. To assess the results, we reviewed clinical preoperative and postoperative photographs. To evaluate improvements in patients’ symptoms, we conducted a survey with responses scored on a Likert scale. RESULTS: None of the patients had scleral show postoperatively. The average patient satisfaction score was satisfied or higher for all symptoms, and the most improved symptom was aesthetic appearance. No major complications were reported. CONCLUSIONS: For the comprehensive management of ectropion, it is crucial to consider both treatment and prevention. Through the simple surgical algorithm proposed in this study, both medically acceptable results and high levels of patient satisfaction were achieved without significant postoperative complications. We recommend using this algorithm for the comprehensive management of ectropion. Korean Society of Plastic and Reconstructive Surgeons 2018-11 2018-11-15 /pmc/articles/PMC6258983/ /pubmed/30466232 http://dx.doi.org/10.5999/aps.2018.00836 Text en Copyright © 2018 The Korean Society of Plastic and Reconstructive Surgeons This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Baek, Siook Chung, Jae-Ho Yoon, Eul-Sik Lee, Byung-Il Park, Seung-Ha Algorithm for the management of ectropion through medial and lateral canthopexy |
title | Algorithm for the management of ectropion through medial and lateral canthopexy |
title_full | Algorithm for the management of ectropion through medial and lateral canthopexy |
title_fullStr | Algorithm for the management of ectropion through medial and lateral canthopexy |
title_full_unstemmed | Algorithm for the management of ectropion through medial and lateral canthopexy |
title_short | Algorithm for the management of ectropion through medial and lateral canthopexy |
title_sort | algorithm for the management of ectropion through medial and lateral canthopexy |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6258983/ https://www.ncbi.nlm.nih.gov/pubmed/30466232 http://dx.doi.org/10.5999/aps.2018.00836 |
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