Modified everting sutures combined with reattachment to the inferior tarsal plate for involutional lower eyelid entropion: A new technique

BACKGROUND: This study evaluated the outcomes of a new modified Wies technique for patients with involutional lower eyelid entropion without horizontal eyelid laxity. METHODS: This case series retrospectively analyzed consecutive patients with entropion who underwent surgery between January 2014 and...

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Autores principales: Sen, Emine Malkoc, Yalcinsoy, Kubra Ozdemir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Plastic and Reconstructive Surgeons 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7398807/
https://www.ncbi.nlm.nih.gov/pubmed/32718114
http://dx.doi.org/10.5999/aps.2020.00220
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author Sen, Emine Malkoc
Yalcinsoy, Kubra Ozdemir
author_facet Sen, Emine Malkoc
Yalcinsoy, Kubra Ozdemir
author_sort Sen, Emine Malkoc
collection PubMed
description BACKGROUND: This study evaluated the outcomes of a new modified Wies technique for patients with involutional lower eyelid entropion without horizontal eyelid laxity. METHODS: This case series retrospectively analyzed consecutive patients with entropion who underwent surgery between January 2014 and March 2019 by the same experienced surgeon. Horizontal eyelid laxity, lower eyelid retractor function, and orbicularis muscle overriding were recorded before and after surgery. The recurrence rate and complications were also evaluated. This technique consisted of modified everting sutures combined with reattachment of the lower eyelid retractors to the inferior tarsal plate. RESULTS: This new technique was performed on 28 eyes in 25 patients (mean age, 71.0±8.0 years; range, 56–87 years). Nine patients (36%) were women and 16 (64%) were men. Lower lid entropion was present in the right eye in 14 patients (56%), the left eye in eight patients (32%), and both eyes in three patients (12%). The mean follow-up period was 27.3±12.4 months (range, 6–60 months). No intraoperative complications were observed. All patients’ symptoms were alleviated. One patient (3.6%) had recurrence after 2 years (success rate, 96.4%). The remaining 27 eyes maintained a satisfactory and comfortable eyelid position. No patients had problems with scarring. CONCLUSIONS: The approach described herein proved to be safe and feasible in eyes with involutional lower eyelid entropion without horizontal eyelid laxity. These advantages of this procedure include the lack of a conjunctival scar, punctal eversion, and lateral canthal angle deformation. A low recurrence rate and a long interval to recurrence were also observed.
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spelling pubmed-73988072020-08-10 Modified everting sutures combined with reattachment to the inferior tarsal plate for involutional lower eyelid entropion: A new technique Sen, Emine Malkoc Yalcinsoy, Kubra Ozdemir Arch Plast Surg Original Article BACKGROUND: This study evaluated the outcomes of a new modified Wies technique for patients with involutional lower eyelid entropion without horizontal eyelid laxity. METHODS: This case series retrospectively analyzed consecutive patients with entropion who underwent surgery between January 2014 and March 2019 by the same experienced surgeon. Horizontal eyelid laxity, lower eyelid retractor function, and orbicularis muscle overriding were recorded before and after surgery. The recurrence rate and complications were also evaluated. This technique consisted of modified everting sutures combined with reattachment of the lower eyelid retractors to the inferior tarsal plate. RESULTS: This new technique was performed on 28 eyes in 25 patients (mean age, 71.0±8.0 years; range, 56–87 years). Nine patients (36%) were women and 16 (64%) were men. Lower lid entropion was present in the right eye in 14 patients (56%), the left eye in eight patients (32%), and both eyes in three patients (12%). The mean follow-up period was 27.3±12.4 months (range, 6–60 months). No intraoperative complications were observed. All patients’ symptoms were alleviated. One patient (3.6%) had recurrence after 2 years (success rate, 96.4%). The remaining 27 eyes maintained a satisfactory and comfortable eyelid position. No patients had problems with scarring. CONCLUSIONS: The approach described herein proved to be safe and feasible in eyes with involutional lower eyelid entropion without horizontal eyelid laxity. These advantages of this procedure include the lack of a conjunctival scar, punctal eversion, and lateral canthal angle deformation. A low recurrence rate and a long interval to recurrence were also observed. Korean Society of Plastic and Reconstructive Surgeons 2020-07 2020-07-15 /pmc/articles/PMC7398807/ /pubmed/32718114 http://dx.doi.org/10.5999/aps.2020.00220 Text en Copyright © 2020 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
Sen, Emine Malkoc
Yalcinsoy, Kubra Ozdemir
Modified everting sutures combined with reattachment to the inferior tarsal plate for involutional lower eyelid entropion: A new technique
title Modified everting sutures combined with reattachment to the inferior tarsal plate for involutional lower eyelid entropion: A new technique
title_full Modified everting sutures combined with reattachment to the inferior tarsal plate for involutional lower eyelid entropion: A new technique
title_fullStr Modified everting sutures combined with reattachment to the inferior tarsal plate for involutional lower eyelid entropion: A new technique
title_full_unstemmed Modified everting sutures combined with reattachment to the inferior tarsal plate for involutional lower eyelid entropion: A new technique
title_short Modified everting sutures combined with reattachment to the inferior tarsal plate for involutional lower eyelid entropion: A new technique
title_sort modified everting sutures combined with reattachment to the inferior tarsal plate for involutional lower eyelid entropion: a new technique
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7398807/
https://www.ncbi.nlm.nih.gov/pubmed/32718114
http://dx.doi.org/10.5999/aps.2020.00220
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