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睑板边缘旋转联合后层超推进治疗睑内翻的长期效果

Long-Term Results for Entropion Repair by Tarsal Margin Rotation With Posterior Lamella Superadvancement.

作者信息

Russell David J, Seiff Stuart R

机构信息

*Department of Ophthalmology, California Pacific Medical Center; and †Department of Ophthalmology, University of California San Francisco, San Francisco, California, U.S.A.

出版信息

Ophthalmic Plast Reconstr Surg. 2017 Nov/Dec;33(6):434-439. doi: 10.1097/IOP.0000000000000815.

Abstract

PURPOSE

To report the long-term stability of tarsal margin rotation and posterior lamellar superadvancement (TMR PLS) for the repair of upper eyelid cicatricial entropion.

METHODS

A retrospective chart review was performed from January 2000 through December 2014 to identify all patients who had TMR PLS at the authors' institution. Charts were reviewed for demographic information, recurrence of entropion or trichiasis, and surgical complications. Failure was defined as return of entropion. Patients with greater than 24 months of follow up were included.

RESULTS

A total of 30 TMR PLS procedures were performed during the review period. Nineteen cases from 14 patients were included in the final analysis. None of the 19 cases demonstrated recurrence of entropion over an average follow-up period of 78.3 months. Eight cases demonstrated trichiasis after TMR PLS, 5 of which required treatment.

CONCLUSION

This case series suggests that TMR PLS for the treatment of upper eyelid cicatricial entropion has excellent long-term stability.

摘要

目的

报告睑缘旋转联合后层超级推进术(TMR - PLS)修复上睑瘢痕性睑内翻的长期稳定性。

方法

对2000年1月至2014年12月间在作者所在机构接受TMR - PLS手术的所有患者进行回顾性病历审查。审查病历以获取人口统计学信息、睑内翻或倒睫的复发情况以及手术并发症。失败定义为睑内翻复发。纳入随访时间超过24个月的患者。

结果

在审查期间共进行了30例TMR - PLS手术。最终分析纳入了14例患者的19个病例。19例患者在平均78.3个月的随访期内均未出现睑内翻复发。8例患者在TMR - PLS术后出现倒睫,其中5例需要治疗。

结论

该病例系列表明,TMR - PLS治疗上睑瘢痕性睑内翻具有出色的长期稳定性。

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