Yang Sungwon, Kim Seungheon, Baek Sehyun
Department of Ophthalmology, Korea University College of Medicine, Seoul, Republic of Korea.
J Craniofac Surg. 2019 Nov-Dec;30(8):2304-2307. doi: 10.1097/SCS.0000000000005677.
The purpose of this study was to compare the surgical outcomes of two combinational surgeries for involutional entropion: Inferior retractor tightening (IRT) + lateral tarsal strip (LTS) + skin muscle excision (SME) vs LTS + SME. The authors reviewed the records of 2 groups which were made up of 80 (85 eyelids) and 58 (63 eyelids) involutional entropion patients with 71.4 and 71.8 years on average respectively. The 2 groups were categorized into Group A and Group B by different surgical techniques. The former underwent IRT + LTS + SME surgery between April 2004 and February 2014, while the latter received LTS + SME surgery between March 2014 and February 2018. The authors evaluated the surgical outcomes of 2 combinational surgeries. In Group A, 84 out of 85 (98.8%) lids were successfully corrected and 1 (1.2%) lower eyelid suffered from recurrence during the follow-up period of 26.5 ± 4.6 months. Two canthal deformity cases occurred in this group. In Group B, 62 out of 63 (98.2%) lids were successfully treated and there was 1 (1.8%) case of recurrence during the follow-up period of 21.0 ± 10.0 months. No cases of complications were noted. IRT + LTS + SME procedure took 26.4 ± 2.4 minutes and LTS + SME procedure took 20.6 ± 3.9 minutes (P < 0.001). The LTS + SME technique exhibited a comparable success rate with the IRT + LTS + SME operation. LTS + SME appeared to be significantly faster and safer compared to the IRT + LTS + SME procedure.
下睑缩肌收紧术（IRT）+外侧睑板条固定术（LTS）+皮肤肌肉切除术（SME）与LTS+SME。作者回顾了两组退行性睑内翻患者的记录，分别为80例（85只眼睑）和58例（63只眼睑），平均年龄分别为71.4岁和71.8岁。两组根据不同的手术技术分为A组和B组。前者在2004年4月至2014年2月期间接受IRT+LTS+SME手术，而后者在2014年3月至2018年2月期间接受LTS+SME手术。作者评估了两种联合手术的手术效果。在A组中，85只眼睑中有84只（98.8%）在26.5±4.6个月的随访期内成功矫正，1只（1.2%）下睑复发。该组出现2例眦角畸形病例。在B组中，63只眼睑中有62只（98.2%）在21.0±10.0个月的随访期内成功治疗，有1例（1.8%）复发。未观察到并发症病例。IRT+LTS+SME手术耗时26.4±2.4分钟，LTS+SME手术耗时20.6±3.9分钟（P<0.001）。LTS+SME技术与IRT+LTS+SME手术的成功率相当。与IRT+LTS+SME手术相比，LTS+SME手术明显更快、更安全。
