Orbicularis oculi muscle transposition for repairing involutional lower eyelid entropion
Orbicularis oculi muscle transposition for repairing involutional lower eyelid entropion
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DOI：
10.1007/s00417-014-2694-3
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发表时间：
2014-08-01
影响因子：
2.7
通讯作者：
Pan, Ye
中科院分区：
文献类型：
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作者：
Ding, Juan;Chen, Fengju;Pan, Ye
描述一种简单的内翻矫正技术，并介绍回顾性介入病例系列研究的结果。我们连续研究了414名患者（609个眼睑）。在没有侧眦肌腱松弛的情况下出现睑内翻的患者，在不水平缩短或切除眼轮匝肌的情况下，将眼轮匝肌（OOM）从睑前位置转位到相应的膈。607例（99.67%）眼睑内翻及相关眼部症状立即得到解决。术后早期并发症是眼睑局部肿胀，一周内逐渐消退。6例出现矫直过度，多数在术后1 ~ 2天通过压力敷料解决。在最后随访时，579例（95.07%）眼睑位置明显改善。轻度内翻复发30例（4.93%）。平均随访6.84个月（6-12个月）。眼轮匝肌转位术是一种相当成功的手术，成功率很高，特别适用于鼻中隔OOM超过鼻中隔OOM的患者。
To describe a simple technique for involutional entropion correction and to present the findings of a retrospective interventional case series study.We studied a consecutive series of 414 patients (609 eyelids). Patients presenting with involutional entropion in the absence of lateral canthal tendon laxity underwent orbicularis oculi muscle (OOM) transposition from pretarsal position to corresponding preseptum without horizontal shortening or resection of the orbicularis muscle.Immediate resolution of entropion and associated ocular symptoms was achieved in 607 eyelids (99.67 %). An early postoperative complication was localized lid swelling that gradually subsided within one week. Over-correction occurred in six cases and resolved with pressure dressing, mostly one or two days post-operation. At final follow-up, a significant improvement in eyelid position was achieved in 579 eyelids (95.07 % ). There was mild recurrence of entropion in 30 eyelids (4.93 %). The mean follow-up was 6.84 months (range, 6-12 months).Orbicularis oculi muscle transposition is a reasonably successful procedure with a high success rate, and is particularly suitable for patients for whom there exits overriding of the preseptal OOM over the pretarsal OOM.