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Lateral tarsoligamentous sling: A successful treatment for involutional entropion in Asians as a modified lateral tarsal strip.
J Craniomaxillofac Surg. 2017 Oct; 45(10):1687-1691.JC

Abstract

OBJECTIVE

To compare the effectiveness of the Quickert suture (Q-suture) with that of the lateral tarsoligamentous sling in treating lower eyelid involutional entropion in Asians.

METHOD

We reviewed the charts of all patients who underwent repair of an involutional lower eyelid entropion in Hangil Eye Hospital between September 2011 and March 2016. A single surgeon (S. C. Kim) performed the procedure in every case. Patients underwent either Q-suturing or lateral tarsoligamentous sling. We analyzed the results using Mann-Whitney and Chi-square tests, as well as Kaplan-Meier survival analysis. A p-value of <0.05 was considered to indicate significance.

RESULTS

A total of 50 patients (61 eyes) were included in the study. Of the 50 patients, 24 (30 eyelids) received Q-suture and 26 patients (31 eyelids) underwent lateral tarsoligamentous sling. In all patients who underwent lateral tarsoligamentous sling, the entropion was successfully corrected and did not recur. Furthermore, none of the patients experienced any significant postoperative complications. In contrast, entropion recurred in 16 (36.67%) of the patients who underwent Q-suture (mean of 10.88 ± 9.02 months after surgery). The recurrence rate was not significantly correlated with age (p = 0.093); it was higher in men than in women, although this was not a significant difference (46.67% vs 26.6.7%; p = 0.175 by Chi-squared test). Kaplan-Meier survival analysis showed that the recurrence rate after Q-suture differed significantly from that after lateral tarsoligamentous sling (36.67% vs 0%, respectively; p = 0.007).

CONCLUSION

This study suggests that lateral tarsoligamentous sling is an effective surgical method for correcting lower eyelid involutional entropion; the technique is not associated with recurrence or significant complications in Asians.

Authors+Show Affiliations

Department of Ophthalmology, HanGil Eye Hospital (Hospital Director: Joonhong Sohn) 35, Bupyeong-daero, Bupyeong-gu, Bupyeong-dong, Incheon, Republic of Korea. Electronic address: timbe1@naver.com.Department of Ophthalmology, HanGil Eye Hospital (Hospital Director: Joonhong Sohn) 35, Bupyeong-daero, Bupyeong-gu, Bupyeong-dong, Incheon, Republic of Korea. Electronic address: skyinvent@hanmail.net.Department of Ophthalmology, HanGil Eye Hospital (Hospital Director: Joonhong Sohn) 35, Bupyeong-daero, Bupyeong-gu, Bupyeong-dong, Incheon, Republic of Korea; Department of Ophthalmology, Catholic Kwandong University College of Medicine, Incheon, Republic of Korea. Electronic address: ophslee@gamil.com.Department of Ophthalmology, HanGil Eye Hospital (Hospital Director: Joonhong Sohn) 35, Bupyeong-daero, Bupyeong-gu, Bupyeong-dong, Incheon, Republic of Korea; Department of Ophthalmology, Catholic Kwandong University College of Medicine, Incheon, Republic of Korea. Electronic address: hapto@daum.net.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28847622

Citation

Lee, Su Chan, et al. "Lateral Tarsoligamentous Sling: a Successful Treatment for Involutional Entropion in Asians as a Modified Lateral Tarsal Strip." Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery, vol. 45, no. 10, 2017, pp. 1687-1691.
Lee SC, Kim JH, Lee SU, et al. Lateral tarsoligamentous sling: A successful treatment for involutional entropion in Asians as a modified lateral tarsal strip. J Craniomaxillofac Surg. 2017;45(10):1687-1691.
Lee, S. C., Kim, J. H., Lee, S. U., & Kim, S. C. (2017). Lateral tarsoligamentous sling: A successful treatment for involutional entropion in Asians as a modified lateral tarsal strip. Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery, 45(10), 1687-1691. https://doi.org/10.1016/j.jcms.2017.07.018
Lee SC, et al. Lateral Tarsoligamentous Sling: a Successful Treatment for Involutional Entropion in Asians as a Modified Lateral Tarsal Strip. J Craniomaxillofac Surg. 2017;45(10):1687-1691. PubMed PMID: 28847622.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lateral tarsoligamentous sling: A successful treatment for involutional entropion in Asians as a modified lateral tarsal strip. AU - Lee,Su Chan, AU - Kim,Jeong Hee, AU - Lee,Sang Un, AU - Kim,Sung Chul, Y1 - 2017/07/29/ PY - 2017/01/23/received PY - 2017/06/30/revised PY - 2017/07/24/accepted PY - 2017/8/30/pubmed PY - 2018/6/30/medline PY - 2017/8/30/entrez KW - Involutional entropion KW - Lateral tarsoligamentous sling KW - Quickert suture SP - 1687 EP - 1691 JF - Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery JO - J Craniomaxillofac Surg VL - 45 IS - 10 N2 - OBJECTIVE: To compare the effectiveness of the Quickert suture (Q-suture) with that of the lateral tarsoligamentous sling in treating lower eyelid involutional entropion in Asians. METHOD: We reviewed the charts of all patients who underwent repair of an involutional lower eyelid entropion in Hangil Eye Hospital between September 2011 and March 2016. A single surgeon (S. C. Kim) performed the procedure in every case. Patients underwent either Q-suturing or lateral tarsoligamentous sling. We analyzed the results using Mann-Whitney and Chi-square tests, as well as Kaplan-Meier survival analysis. A p-value of <0.05 was considered to indicate significance. RESULTS: A total of 50 patients (61 eyes) were included in the study. Of the 50 patients, 24 (30 eyelids) received Q-suture and 26 patients (31 eyelids) underwent lateral tarsoligamentous sling. In all patients who underwent lateral tarsoligamentous sling, the entropion was successfully corrected and did not recur. Furthermore, none of the patients experienced any significant postoperative complications. In contrast, entropion recurred in 16 (36.67%) of the patients who underwent Q-suture (mean of 10.88 ± 9.02 months after surgery). The recurrence rate was not significantly correlated with age (p = 0.093); it was higher in men than in women, although this was not a significant difference (46.67% vs 26.6.7%; p = 0.175 by Chi-squared test). Kaplan-Meier survival analysis showed that the recurrence rate after Q-suture differed significantly from that after lateral tarsoligamentous sling (36.67% vs 0%, respectively; p = 0.007). CONCLUSION: This study suggests that lateral tarsoligamentous sling is an effective surgical method for correcting lower eyelid involutional entropion; the technique is not associated with recurrence or significant complications in Asians. SN - 1878-4119 UR - https://www.unboundmedicine.com/medline/citation/28847622/Lateral_tarsoligamentous_sling:_A_successful_treatment_for_involutional_entropion_in_Asians_as_a_modified_lateral_tarsal_strip_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1010-5182(17)30256-1 DB - PRIME DP - Unbound Medicine ER -