Lee Hyunkyu, Cha Eunhyang, Baek Sehyun
Department of Ophthalmology, Korea University College of Medicine, Ansan Hospital, Ansan, South Korea.
Department of Ophthalmology, Korea University College of Medicine, Guro Hospital, Seoul, South Korea.
Front Surg. 2022 May 12;9:870751. doi: 10.3389/fsurg.2022.870751. eCollection 2022.
We reviewed the medical records of 53 involutional entropion patients, who underwent lateral tarsal strip (LTS) with a minimal skin muscle excision by cauterization from March 2014 to December 2017, to evaluate the effectiveness and efficiency of LTS in conjunction with a minimal skin muscle excision using cautery in patients with involutional entropion. We evaluated the success rate, complications, recurrence rate, and degree of satisfaction of our technique. Of 53 patients, there were 5 bilateral cases for a total of 58 eyelids. The average of age was 71.2 years old (57-90 years). The average follow-up period was 18 months (12-39 months). The success rate for involutional entropion correction was 98.1% with our technique. There was one mild recurrence case at 7 months. In our study, the average operation time was 20.8 min (15-29 min) for 48 unilateral cases and 27.2 min (20-32 min) for 5 bilateral cases without intraoperative complications. Of 42 responders of patients' satisfaction questionnaire, 38 patients showed good satisfaction and were willing to recommend the surgery to their acquaintances. The technique of LTS with minimal skin excision with cauterization was effective and provided satisfying outcomes to patients with involutional entropion.
我们回顾了2014年3月至2017年12月期间53例退行性睑内翻患者的病历，这些患者接受了外侧睑板条手术（LTS），术中通过烧灼术进行了最小限度的皮肤肌肉切除，以评估LTS联合使用烧灼术进行最小限度皮肤肌肉切除治疗退行性睑内翻患者的有效性和效率。我们评估了该技术的成功率、并发症、复发率和满意度。53例患者中，有5例为双侧病例，共58只眼睑。平均年龄为71.2岁（57 - 90岁）。平均随访期为18个月（12 - 39个月）。我们的技术矫正退行性睑内翻的成功率为98.1%。7个月时出现1例轻度复发病例。在我们的研究中，48例单侧病例的平均手术时间为20.8分钟（15 - 29分钟），5例双侧病例的平均手术时间为27.2分钟（20 - 32分钟），术中无并发症。在42份患者满意度调查问卷的回复者中，38例患者表示非常满意，并愿意向熟人推荐该手术。LTS联合烧灼术进行最小限度皮肤切除的技术是有效的，为退行性睑内翻患者提供了令人满意的结果。
