TY - JOUR
T1 - The use of a double suture and conjunctival cuts in the lateral tarsal strip
T2 - A new approach to involutional ectropion
AU - Meduri, Alessandro
AU - Inferrera, Leandro
AU - Oliverio, Giovanni William
AU - Tumminello, Giuseppe
AU - Rechichi, Miguel
AU - Mazzotta, Cosimo
AU - Frisina, Rino
AU - Kaufman, Stephen
AU - Aragona, Pasquale
PY - 2018/1/1
Y1 - 2018/1/1
N2 - 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 (3.5 0.2) than patients treated with C-LTS (5.7 0.2). 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.
AB - 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 (3.5 0.2) than patients treated with C-LTS (5.7 0.2). 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.
KW - Epiphora
KW - Horizontal eyelid laxity
KW - Involutional ectropion
KW - Modified lateral tarsal strip
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U2 - 10.1097/SCS.0000000000004838
DO - 10.1097/SCS.0000000000004838
M3 - Article
C2 - 30320676
AN - SCOPUS:85056383035
SN - 1049-2275
VL - 29
SP - 2312
EP - 2315
JO - Journal of Craniofacial Surgery
JF - Journal of Craniofacial Surgery
IS - 8
ER -