The Use of a Double Suture and Conjunctival Cuts in the Lateral Tarsal Strip: A New Approach to Involutional Ectropion.
J Craniofac Surg
; 29(8): 2312-2315, 2018 Nov.
Article
em En
| MEDLINE
| ID: mdl-30320676
ABSTRACT
PURPOSE:
To describe the use of a double suture and conjunctival cuts in the lateral tarsal strip (LTS) and to evaluate postsurgical outcome in patients with severe involutional ectropion.METHODS:
A prospective randomized study was conducted on 16 eyelids of 8 patients with symptomatic severe involutional ectropion. The 8 patients were between 62 and 79 years. They were distributed into 2 groups consisting of 4 patients each. The control group was treated with a conventional lateral tarsal strip (C-LTS), the second group underwent a modified lateral tarsal strip (M-LTS). The mean follow-up was 18 months. Success was defined as relief in lid laxity. The recurrence rate was also evaluated.RESULTS:
Patients treated with M-LTS showed lower horizontal laxity (3.5â±â0.2) than patients treated with C-LTS (5.7â±â0.2). During the 18-month follow-up, a statistically significant difference was found between the 2 groups with P value <0.05.CONCLUSIONS:
The use of a double suture and conjunctival cuts in the lateral tarsal strip proposed by Meduri showed a reduction of postsurgical ectropion's grade and postsurgical recurrences. This technique could be used for the treatment of patients with a severe ectropion.
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Base de dados:
MEDLINE
Assunto principal:
Técnicas de Sutura
/
Túnica Conjuntiva
/
Blefaroplastia
/
Ectrópio
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article