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下眼睑菱形切开术:一种简单的倒睫修复术,可同时矫正水平和下眼睑提肌松弛。

The lower lid diamond: a simple entropion repair to correct both horizontal and lower-lid retractor laxity.

机构信息

University Hospital Wales, Heath Park, Cardiff, Wales, UK.

出版信息

Ophthalmic Plast Reconstr Surg. 2012 Jan-Feb;28(1):44-6. doi: 10.1097/IOP.0b013e3182364a8e.

DOI:10.1097/IOP.0b013e3182364a8e
PMID:22186987
Abstract

PURPOSE

To describe a simple technique for involutional entropion correction and to present the findings of a pilot study.

METHODS

Consecutive case series of 42 procedures. Patients presenting with involutional entropion in the absence of lateral canthal tendon laxity (lateral canthus could be distracted 1 cm or more medially) underwent a modified full-thickness eyelid shortening combined with retractor plication. Main outcome measures were correction of entropion and cosmesis of the surgical site at final follow up.

RESULTS

At final follow up, 92% of patients had a satisfactory eyelid position with no recurrence of entropion and a cosmetically satisfactory scar.

CONCLUSIONS

This is a useful technique with a higher success rate than everting sutures and is particularly suitable for patients for whom rapid surgery is needed or a lateral canthotomy is best avoided.

摘要

目的

描述一种简单的退行性睑内翻矫正技术,并介绍一项初步研究的结果。

方法

连续病例系列研究共 42 例患者。患有退行性睑内翻且无外眦腱松弛(外侧眼角可向内侧移位 1 厘米或更多)的患者接受改良的全层眼睑缩短术联合牵引折叠术。主要观察指标为最终随访时睑内翻的矫正情况和手术部位的美容效果。

结果

最终随访时,92%的患者眼睑位置满意,无睑内翻复发,手术疤痕美观。

结论

这是一种有用的技术,成功率高于外翻缝线,特别适用于需要快速手术或最好避免外眦切开术的患者。

相似文献

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Front Surg. 2022 May 12;9:870751. doi: 10.3389/fsurg.2022.870751. eCollection 2022.
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8-0 polyglactin 910 suture in entropion repair: long term follow up and rates of recurrence.8-0 聚乳酸 910 缝线在眼睑内翻修复中的应用:长期随访和复发率。
Eye (Lond). 2023 Mar;37(4):618-623. doi: 10.1038/s41433-022-01997-5. Epub 2022 Mar 5.
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Modified everting sutures combined with reattachment to the inferior tarsal plate for involutional lower eyelid entropion: A new technique.
改良外翻缝线联合下睑板重新固定术治疗老年性下睑内翻:一种新技术
Arch Plast Surg. 2020 Jul;47(4):347-353. doi: 10.5999/aps.2020.00220. Epub 2020 Jul 15.
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Orbicularis oculi muscle transposition for repairing involutional lower eyelid entropion.眼轮匝肌转位术修复退行性下睑内翻
Graefes Arch Clin Exp Ophthalmol. 2014 Aug;252(8):1315-8. doi: 10.1007/s00417-014-2694-3. Epub 2014 Jun 20.