Uemura Kazuhisa, Okuda Katsuya, Ueno Kazuki, Kumegawa Shinji, Wada Yoshitaka, Asamura Shinichi
Department of Plastic and Reconstructive Surgery, Wakayama Medical University.
Department of Otolaryngology, Head and Neck Surgery, Wakayama Medical University, Kimiidera, Wakayama, Japan.
J Craniofac Surg. 2023;34(5):1540-1542. doi: 10.1097/SCS.0000000000009270. Epub 2023 Mar 13.
No accepted standard for the correction of medial ectropion has been established. The most critical part of the surgical treatment for medial ectropion is the tightening of both horizontal and vertical laxity. To correct this ectropion, we have applied a combination procedure which includes tightening of the conjunctiva and the eyelid retractors (posterior lamellae) and the lateral tarsal strip procedure. Our imitation of the 'Lazy-T', a surgical operation performed on the medial ectropion, is tentatively named 'Invisible Lazy-T'. It is a versatile technique with a less visible scar than alternative techniques because skin incision is made along the crease line of the 'the crow's feet'. Results suggest a satisfactory solution to this problem and with better outcomes than by other techniques. We propose this novel combination technique is the best strategy for the medial ectropion, and it does not require specialized surgical skill, so ectropion can be managed by craniofacial surgeons.
目前尚未确立公认的内眦外翻矫正标准。内眦外翻手术治疗最关键的部分是同时收紧水平和垂直方向的松弛。为矫正这种外翻，我们采用了一种联合手术方法，包括收紧结膜和眼睑退缩肌（后层）以及外侧睑板条手术。我们对内眦外翻所施行的一种模仿 “Lazy - T” 的手术，暂命名为 “隐形 Lazy - T”。这是一种通用技术，由于皮肤切口是沿着 “鱼尾纹” 的皱纹线进行的，所以疤痕比其他技术更不明显。结果表明该方法能令人满意地解决这一问题，且效果优于其他技术。我们认为这种新颖的联合技术是治疗内眦外翻的最佳策略，并且它不需要专门的手术技巧，因此颅面外科医生即可处理外翻问题。
