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通过内外眦固定术治疗睑外翻的管理算法。

Algorithm for the management of ectropion through medial and lateral canthopexy.

作者信息

Baek Siook, Chung Jae-Ho, Yoon Eul-Sik, Lee Byung-Il, Park Seung-Ha

机构信息

Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, Korea.

出版信息

Arch Plast Surg. 2018 Nov;45(6):525-533. doi: 10.5999/aps.2018.00836. Epub 2018 Nov 15.

DOI:10.5999/aps.2018.00836
PMID:30466232
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6258983/
Abstract

BACKGROUND

Patients with ectropion experience devastating symptoms. Therefore, the prevention and 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.

摘要

背景

睑外翻患者会经历严重的症状。因此，这种疾病的预防和治疗至关重要。为了治疗睑外翻，以有效的方式进行内眦和外眦固定术很重要。在本研究中，我们根据睑外翻的体征和病因提出了一种新的分类方法，并在此基础上提出了一种睑外翻预防和治疗的综合算法。

方法

根据所提出的算法对68例患者进行了眦固定术，该算法从睑外翻类型的分类开始，以推荐的手术技术结束。为了评估结果，我们回顾了术前和术后的临床照片。为了评估患者症状的改善情况，我们进行了一项调查，让患者的回答按照李克特量表进行评分。

结果

所有患者术后均无巩膜暴露。所有症状的患者平均满意度评分均为满意或更高，改善最明显的症状是美观。未报告重大并发症。

结论

对于睑外翻的综合治疗，考虑治疗和预防都至关重要。通过本研究中提出简单手术算法，在无明显术后并发症的情况下，取得了医学上可接受的结果和较高的患者满意度。我们建议使用该算法进行睑外翻的综合治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dca/6258983/ff3bac46346d/aps-2018-00836f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dca/6258983/2dfd97e5cb40/aps-2018-00836f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dca/6258983/c7ce5ead59b2/aps-2018-00836f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dca/6258983/9e64c9554f35/aps-2018-00836f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dca/6258983/ac3aa54f4bf9/aps-2018-00836f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dca/6258983/5340f364c57c/aps-2018-00836f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dca/6258983/5f16eca81dc9/aps-2018-00836f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dca/6258983/ff3bac46346d/aps-2018-00836f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dca/6258983/2dfd97e5cb40/aps-2018-00836f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dca/6258983/c7ce5ead59b2/aps-2018-00836f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dca/6258983/9e64c9554f35/aps-2018-00836f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dca/6258983/ac3aa54f4bf9/aps-2018-00836f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dca/6258983/5340f364c57c/aps-2018-00836f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dca/6258983/5f16eca81dc9/aps-2018-00836f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dca/6258983/ff3bac46346d/aps-2018-00836f7.jpg

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