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Lateral tarsal strip plus skin-muscle flap excision in the treatment of lower eyelid involutional entropion.
Orbit. 2017 Dec; 36(6):375-381.O

Abstract

This article examines the effectiveness of skin-muscle flap excision in conjunction with a lateral tarsal strip for the treatment of involutional entropion. Ninety-six eyelids in 83 consecutive patients with involutional entropion were treated using a standardized surgical procedure. All patients underwent lower eyelid tightening with a lateral tarsal strip, dissection of a skin-muscle flap inferiorly through a subciliary incision and excision of redundant skin as well as orbicularis muscle. Follow-up data was obtained by retrospective chart review and telephone interviews. 80 patients were included in this study. The only exclusion criteria was failure to attend the 1 week follow-up appointment, n = 3. There was only one recurrence which was mild and revised under local anesthesia. Two patients had overcorrection with mild ectropion but did not require additional surgery. In those that completed their initial post-operative visit, the average time follow-up time was 502 days. Excision of a skin-muscle flap is a useful addition to lateral tarsal strip surgery in the treatment of involutional entropion and is a quick procedure producing excellent functional and cosmetic results. To our knowledge, this is the first cohort of patients to be reported using this technique where all patients had a standardized surgical approach. Additional studies are needed to compare long-term outcomes of this technique against other surgical treatments.

Authors+Show Affiliations

a New England Eye Center, Tufts Medical Center , Boston , Massachusetts , USA.a New England Eye Center, Tufts Medical Center , Boston , Massachusetts , USA.a New England Eye Center, Tufts Medical Center , Boston , Massachusetts , USA.a New England Eye Center, Tufts Medical Center , Boston , Massachusetts , USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28837414

Citation

Dunbar, Kristen E., et al. "Lateral Tarsal Strip Plus Skin-muscle Flap Excision in the Treatment of Lower Eyelid Involutional Entropion." Orbit (Amsterdam, Netherlands), vol. 36, no. 6, 2017, pp. 375-381.
Dunbar KE, Cox C, Heher KL, et al. Lateral tarsal strip plus skin-muscle flap excision in the treatment of lower eyelid involutional entropion. Orbit. 2017;36(6):375-381.
Dunbar, K. E., Cox, C., Heher, K. L., & Kapadia, M. K. (2017). Lateral tarsal strip plus skin-muscle flap excision in the treatment of lower eyelid involutional entropion. Orbit (Amsterdam, Netherlands), 36(6), 375-381. https://doi.org/10.1080/01676830.2017.1337190
Dunbar KE, et al. Lateral Tarsal Strip Plus Skin-muscle Flap Excision in the Treatment of Lower Eyelid Involutional Entropion. Orbit. 2017;36(6):375-381. PubMed PMID: 28837414.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lateral tarsal strip plus skin-muscle flap excision in the treatment of lower eyelid involutional entropion. AU - Dunbar,Kristen E, AU - Cox,Catherine, AU - Heher,Katrinka L, AU - Kapadia,Mitesh K, Y1 - 2017/08/24/ PY - 2017/8/25/pubmed PY - 2018/7/17/medline PY - 2017/8/25/entrez KW - Skin-muscle flap KW - entropion KW - lateral tarsal strip SP - 375 EP - 381 JF - Orbit (Amsterdam, Netherlands) JO - Orbit VL - 36 IS - 6 N2 - This article examines the effectiveness of skin-muscle flap excision in conjunction with a lateral tarsal strip for the treatment of involutional entropion. Ninety-six eyelids in 83 consecutive patients with involutional entropion were treated using a standardized surgical procedure. All patients underwent lower eyelid tightening with a lateral tarsal strip, dissection of a skin-muscle flap inferiorly through a subciliary incision and excision of redundant skin as well as orbicularis muscle. Follow-up data was obtained by retrospective chart review and telephone interviews. 80 patients were included in this study. The only exclusion criteria was failure to attend the 1 week follow-up appointment, n = 3. There was only one recurrence which was mild and revised under local anesthesia. Two patients had overcorrection with mild ectropion but did not require additional surgery. In those that completed their initial post-operative visit, the average time follow-up time was 502 days. Excision of a skin-muscle flap is a useful addition to lateral tarsal strip surgery in the treatment of involutional entropion and is a quick procedure producing excellent functional and cosmetic results. To our knowledge, this is the first cohort of patients to be reported using this technique where all patients had a standardized surgical approach. Additional studies are needed to compare long-term outcomes of this technique against other surgical treatments. SN - 1744-5108 UR - https://www.unboundmedicine.com/medline/citation/28837414/Lateral_tarsal_strip_plus_skin_muscle_flap_excision_in_the_treatment_of_lower_eyelid_involutional_entropion_ L2 - https://www.tandfonline.com/doi/full/10.1080/01676830.2017.1337190 DB - PRIME DP - Unbound Medicine ER -