J Korean Ophthalmol Soc.  2016 Sep;57(9):1348-1353. 10.3341/jkos.2016.57.9.1348.

Surgical Outcome of Minimal Resection with Full Thickness Rotating Suture Technique for Lower Lid Epiblepharon

• Jeong HC
• Sohn EJ
• Ahn HB

• KMID: 2351863
• DOI: http://doi.org/10.3341/jkos.2016.57.9.1348

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.

Keyword

Epiblepharon; Full thickness rotating suture; Minimal resection

MeSH Terms

Eyelids
Follow-Up Studies
Humans
Male
Medical Records
Recurrence
Retrospective Studies
Skin
Suture Techniques*
Sutures*

Figure

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  Figure 1. Minimal resection of skin & orbicularis oculi muscle. Marking a skin incision line with the aid of Bishop forceps (medial side is wide and tapered laterally, like tadpole shape) (A). Skin and subcutaneous tissue resection was performed with Stevens scissors (B).

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  Figure 2. Photography describing full thickness rotating suture. After exposing the tarsal plate, simple interrupted buried suture is performed (A, B). Cross section view of the lower eyelid with full thickness rotating suture (C).

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  Figure 3. Photography showing preoperative & postoperative view. Preoperative view (A). Postoperative 6 month view (B). Lower eyelid margin is well everted and the cornea is not touched by cilia anymore.

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  Figure 4. Photography showing hypertrophic scar at post-operative 3 months. The scar was formed along the skin incision line which creates mechanical tension.

Reference

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