Sommer F
Augenklinik, Universitätsklinikum Carl Gustav Carus, TU Dresden.
Klin Monbl Augenheilkd. 2017 Jan;234(1):59-63. doi: 10.1055/s-0042-122591. Epub 2017 Jan 30.
Tightening of the lower eyelid is often performed and many techniques are available. This paper describes the outcome of lower eyelid ectropion repair using the lateral tarsal strip procedure. Periosteal fixation of the tarsal strip can be performed with absorbable or non-absorbable sutures. This study compares the surgical results of periosteal fixation of the tarsal strip with a) absorbable and b) non-absorbable suture. Of 206 patients who underwent surgery, data from 161 were available. During the 6 month follow-up period, suture material, recurrence rates and complications were assessed. The analysis was based on photo documentation, surgery reports and patient statements. In all cases surgery was performed by the same surgeon. After 6 months, patients showed similar recurrence rates, regardless of whether periosteal fixation of the tarsal strip had been performed with absorbable (61 patients) or non-absorbable (100 patients) material. Only a few complications occurred, including wound healing problems and one allergic reaction in the non-absorbable group. In cases of lower eyelid ectropion, the surgical outcome after the tarsal strip procedure was similar for absorbable and non-absorbable sutures.
下睑收紧手术经常进行，且有多种技术可供选择。本文描述了采用外侧睑板条手术修复下睑外翻的结果。睑板条的骨膜固定可用可吸收或不可吸收缝线进行。本研究比较了睑板条骨膜固定采用a) 可吸收缝线和b) 不可吸收缝线的手术结果。在接受手术的206例患者中，有161例患者的数据可用。在6个月的随访期内，评估了缝线材料、复发率和并发症。分析基于照片记录、手术报告和患者陈述。所有病例均由同一位外科医生进行手术。6个月后，无论睑板条骨膜固定是用可吸收材料（61例患者）还是不可吸收材料（100例患者）进行，患者的复发率相似。仅出现了少数并发症，包括伤口愈合问题和不可吸收组的1例过敏反应。在下睑外翻病例中，睑板条手术后可吸收和不可吸收缝线的手术结果相似。
