J Korean Ophthalmol Soc > Volume 57(9); 2016 > Article
Journal of the Korean Ophthalmological Society 2016;57(9):1348-1353.
DOI: https://doi.org/10.3341/jkos.2016.57.9.1348    Published online September 15, 2016.
Surgical Outcome of Minimal Resection with Full Thickness Rotating Suture Technique for Lower Lid Epiblepharon.
Hyun Chul Jeong, Eun Jung Sohn, Hee Bae Ahn
Department of Ophthalmology, Dong-A University College of Medicine, Busan, Korea. hbahn@dau.ac.kr
아래덧눈꺼풀 환자에서 장기 관찰한 전층회전봉합을 병용한 최소절제법의 효과
정현철⋅손은정⋅안희배
동아대학교 의과대학 안과학교실
Correspondence:  Hee Bae Ahn,
Email: hbahn@dau.ac.kr
Received: 7 April 2016   • Revised: 6 June 2016   • Accepted: 3 August 2016
Abstract
PURPOSE
To introduce the minimal skin and orbicularis oculi muscle resection with the full thickness rotating suture technique for lower lid epiblepharon and to assess its surgical outcome. METHODS: A retrospective review of medical records was performed on lower lid epiblepharon patients who were followed for more than 6 months after surgical correction performed between January 2004 and December 2015. All surgeries were performed by one surgeon using minimal skin and orbicularis oculi muscle resection and the full thickness rotating suture technique for lower lid epiblepharon correction. RESULTS: A total of 943 lower lid epiblepharon patients (403 male, 540 female) were included in the analysis. The mean patient age was 6.7 ± 2.4 years, and the mean postoperative follow-up was 12.9 ± 7.2 months. Eyelid shape and function were well maintained in 904 patients (95.9%), with no recurrence during follow-up. Among the recurrent cases (39 patients [4.1%]), 19 patients (2%) underwent a second correction surgery. CONCLUSIONS: Minimal skin and orbicularis oculi muscle resection with the full thickness rotating suture technique for lower lid epiblepharon showed good surgical outcome with few complications and high success rate.
Key Words: Epiblepharon;Full thickness rotating suture;Minimal resection


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