Lee Seunghyun, Lew Helen
Department of Ophthalmology, CHA Bundang Medical Center, Seongnam, Republic of Korea.
Plast Reconstr Surg Glob Open. 2020 Dec 9;8(12):e3176. doi: 10.1097/GOX.0000000000003176. eCollection 2020 Dec.
This study aimed to evaluate the clinical efficacy of the 2-step procedure used for treating entropion patients: (1) performing a grey line split incision and recessing the anterior lamella; (2) using full-thickness everting sutures of the eyelid to enhance the rotating effect.
In total, 31 eyelids of 21 patients were reviewed (male-female ratio = 11:10), with each patient having either upper or lower, or both eyelid entropion due to various causes. All patients underwent the two-step procedure by eyelid splitting and full-thickness everting sutures at the Bundang Cha Hospital from August 2014 until July 2018.
The mean follow-up duration was 24.3 months (range, 14-107 months). The causes of entropion included involutional entropion (15 eyelids), congenital entropion (10 eyelids), and cicatrical entropion (6 eyelids). Surgery was re-performed on 16 eyelids due to recurrences from previous electrolysis or surgical correction of entropion such as capsulopalpebral fascia repair, full-thickness rotating suture, or folliculectomy. The two-step procedure was performed on all 31 eyelids, and 9 eyelids received additional excision of skin. After the 2-step procedure, patients showed improvement in symptoms, and all were satisfied with the contour of their eyelids. During the follow-up period, there were no recurrences or complications.
A two-step procedure involving eyelid splitting and full-thickness everting sutures is an effective surgical method to treat entropion due to various causes, when compared with other conventional methods.
本研究旨在评估用于治疗睑内翻患者的两步手术的临床疗效：（1）进行灰线劈开切口并使前层后退；（2）使用眼睑全层外翻缝线增强旋转效果。
共回顾了21例患者的31只眼睑（男女比例为11:10），每位患者因各种原因患有上睑或下睑或双眼睑内翻。2014年8月至2018年7月，所有患者在盆唐CHA医院接受了眼睑劈开和全层外翻缝线的两步手术。
平均随访时间为24.3个月（范围14 - 107个月）。睑内翻的原因包括退行性睑内翻（15只眼睑）、先天性睑内翻（10只眼睑）和瘢痕性睑内翻（6只眼睑）。由于先前电解或睑内翻手术矫正（如睑板睑结膜筋膜修复、全层旋转缝线或滤泡切除术）后复发，16只眼睑再次进行了手术。所有31只眼睑均进行了两步手术，9只眼睑接受了额外的皮肤切除。两步手术后，患者症状改善，所有患者对眼睑外形均满意。随访期间，无复发或并发症。
与其他传统方法相比，涉及眼睑劈开和全层外翻缝线的两步手术是治疗各种原因引起的睑内翻的有效手术方法。
