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The Use of a Double Suture and Conjunctival Cuts in the Lateral Tarsal Strip: A New Approach to Involutional Ectropion.
J Craniofac Surg. 2018 Nov; 29(8):2312-2315.JC

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 (3.5 ± 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.

Authors+Show Affiliations

Department of Biomedical Sciences, Eye Clinic, University of Messina, Messina.Department of Biomedical Sciences, Eye Clinic, University of Messina, Messina.Department of Biomedical Sciences, Eye Clinic, University of Messina, Messina.Department of Biomedical Sciences, Eye Clinic, University of Messina, Messina.Eye-Center, Catanzaro.Department of Medicine, Surgery and Neurosciences, Ophthalmology Unit, Siena University. Siena Crosslinking Center, Siena.Department of Ophthalmology, University of Padova, Padova, Italy.Department of Ophthalmology, State University of New York-Downstate, New York, NY.Department of Biomedical Sciences, Eye Clinic, University of Messina, Messina.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

30320676

Citation

Meduri, Alessandro, et al. "The Use of a Double Suture and Conjunctival Cuts in the Lateral Tarsal Strip: a New Approach to Involutional Ectropion." The Journal of Craniofacial Surgery, vol. 29, no. 8, 2018, pp. 2312-2315.
Meduri A, Inferrera L, Oliverio GW, et al. The Use of a Double Suture and Conjunctival Cuts in the Lateral Tarsal Strip: A New Approach to Involutional Ectropion. J Craniofac Surg. 2018;29(8):2312-2315.
Meduri, A., Inferrera, L., Oliverio, G. W., Tumminello, G., Rechichi, M., Mazzotta, C., Frisina, R., Kaufman, S., & Aragona, P. (2018). The Use of a Double Suture and Conjunctival Cuts in the Lateral Tarsal Strip: A New Approach to Involutional Ectropion. The Journal of Craniofacial Surgery, 29(8), 2312-2315. https://doi.org/10.1097/SCS.0000000000004838
Meduri A, et al. The Use of a Double Suture and Conjunctival Cuts in the Lateral Tarsal Strip: a New Approach to Involutional Ectropion. J Craniofac Surg. 2018;29(8):2312-2315. PubMed PMID: 30320676.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Use of a Double Suture and Conjunctival Cuts in the Lateral Tarsal Strip: 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 - 2018/10/16/pubmed PY - 2019/1/25/medline PY - 2018/10/16/entrez SP - 2312 EP - 2315 JF - The Journal of craniofacial surgery JO - J Craniofac Surg VL - 29 IS - 8 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. SN - 1536-3732 UR - https://www.unboundmedicine.com/medline/citation/30320676/The_Use_of_a_Double_Suture_and_Conjunctival_Cuts_in_the_Lateral_Tarsal_Strip:_A_New_Approach_to_Involutional_Ectropion_ L2 - https://doi.org/10.1097/SCS.0000000000004838 DB - PRIME DP - Unbound Medicine ER -