A retrospective study of tailored surgery based on the mechanical balance principle for involutional entropion in the lower eyelid
A retrospective study of tailored surgery based on the mechanical balance principle for involutional entropion in the lower eyelid
复制标题
基于机械平衡原理的下眼睑复旧性睑内翻量身定制手术的回顾性研究
DOI：
10.1177/1120672120984398
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发表时间：
2020-12
影响因子：
1.7
通讯作者：
Huang Yifei
中科院分区：
文献类型：
--
作者：
Hu Jian;Li Yueyue;Li Qian;Wang Liqiang;Huang Yifei
目的：下睑退行性内翻是老年人最常见的眼睑疾患之一。尽管广泛使用的外科手术有效，但复发率并未得到改善。在这项回顾性研究中，我们旨在评估基于机械平衡原理的量身定制手术治疗下睑退行性内翻的手术方案、有效性和安全性。方法：对2016年1月1日至2018年12月31日收治的47例(54眼)退行性下睑内翻患者的临床资料进行回顾性分析。根据垂直、水平和矢状面的机械平衡分析，制定量身定制的手术方案。结果：54例下睑退行性内翻患者均通过结膜推进下睑牵引器(LER)。对于轻度水平眼睑松弛的患者，仅进行LER前移手术。对于中度和重度水平眼睑松弛，采用联合水平强化手术，包括外侧眼睑固定术、外侧睑板带(LTS)手术和楔形切除。采用眼轮匝肌收紧或移位的方法覆盖眼轮匝肌。术后随访1~4年，无复发病例。随访时间为1~4年( )。总有效率为100%，复发率为0。结论：这是首次根据退行性内翻所涉及的机械失衡机制而设计的量身定制的手术策略的描述性研究。基于机械平衡原理的量身定制手术安全有效，复发率低。
Objective: Involutional entropion in the lower eyelid is one of the most common eyelid disorders of the elderly. Despite the effectiveness of the widely used surgical procedures, recurrence rates have failed to improve. In this retrospective study, we aimed to assess surgical plans, effectiveness and safety of tailored surgery based on the mechanical balance principal in treating involutional entropion in the lower eyelid. Methods: A retrospective analysis of 47 patients (54 eyelids) diagnosed with involutional entropion in the lower eyelid and receiving tailored surgical treatment based on mechanical balance principle from 1 January 2016 to 31 December 2018 was carried out. Tailored surgical plans were developed according to the mechanical balance analysis of vertical, horizontal and sagittal directions. Results: All 54 eyelids with involutional entropion in the lower eyelid underwent advancement of the lower eyelid retractor (LER) through the conjunctiva. For patients with mild horizontal eyelid laxity, only LER advancement was performed. For moderate and severe horizontal eyelid laxities, combined horizontal reinforcement procedures were performed, including lateral canthopexy, lateral tarsal strip (LTS) surgery and wedge resection. The orbicularis oculi muscle (OOM) tightening or transposition was performed for OOM overriding. The follow-up time was 1 to 4 years, and there were no cases experiencing recurrence. Thus, the rates of effectiveness and recurrence were 100% and 0%, respectively. Conclusions: This is the first descriptive study on the tailored surgical strategies designed according to the mechanism of mechanical imbalance involved in involutional entropion. Tailored surgery based on the mechanical balance principle is safe and effective with low recurrence.
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DOI：
10.1007/s00417-014-2694-3
发表时间：
2014-08-01
影响因子：
2.7
作者：
Ding, Juan;Chen, Fengju;Pan, Ye
通讯作者：
Pan, Ye
DOI：
10.1097/iop.0b013e3182115229
发表时间：
2011-09-01
影响因子：
2
作者：
Damasceno, Renato Wendell;Osaki, Midori Hentona;Belfort, Rubens, Jr.
通讯作者：
Belfort, Rubens, Jr.
影响因子：
2.3
作者：
Fitzgerald, Rebecca
通讯作者：
Fitzgerald, Rebecca
DOI：
10.1080/01676830.2017.1363786
发表时间：
2018-01-01
期刊：
ORBIT-AN INTERNATIONAL JOURNAL ON ORBITAL DISORDERS AND FACIAL RECONSTRUCTIVE SURGERY
影响因子：
--
作者：
Rajabi, Mohammad Taher;Gholipour, Farshad;Tabatabaie, Seyed Ziaeddin
通讯作者：
Tabatabaie, Seyed Ziaeddin
DOI：
10.1097/iop.0b013e31821637e4
发表时间：
2011-09-01
影响因子：
2
作者：
Damasceno, Renato Wendell;Osaki, Midori Hentona;Belfort, Rubens, Jr.
通讯作者：
Belfort, Rubens, Jr.