The use of a double suture and conjunctival cuts in the lateral tarsal strip: A new approach to involutional ectropion

Alessandro Meduri, Leandro Inferrera, Giovanni William Oliverio, Giuseppe Tumminello, Miguel Rechichi, Cosimo Mazzotta, Rino Frisina, Stephen Kaufman, Pasquale Aragona

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)2312-2315
Number of pages4
JournalJournal of Craniofacial Surgery
Volume29
Issue number8
DOIs
StatePublished - Jan 1 2018
Externally publishedYes

Fingerprint

Ectropion
Sutures
Recurrence
Eyelids
Prospective Studies
Control Groups

Keywords

  • Epiphora
  • Horizontal eyelid laxity
  • Involutional ectropion
  • Modified lateral tarsal strip

PubMed: MeSH publication types

  • Journal Article
  • Randomized Controlled Trial

Cite this

Meduri, A., Inferrera, L., Oliverio, G. W., Tumminello, G., Rechichi, M., Mazzotta, C., ... Aragona, P. (2018). The use of a double suture and conjunctival cuts in the lateral tarsal strip: A new approach to involutional ectropion. Journal of Craniofacial Surgery, 29(8), 2312-2315. https://doi.org/10.1097/SCS.0000000000004838

The use of a double suture and conjunctival cuts in the lateral tarsal strip : A new approach to involutional ectropion. / Meduri, Alessandro; Inferrera, Leandro; Oliverio, Giovanni William; Tumminello, Giuseppe; Rechichi, Miguel; Mazzotta, Cosimo; Frisina, Rino; Kaufman, Stephen; Aragona, Pasquale.

In: Journal of Craniofacial Surgery, Vol. 29, No. 8, 01.01.2018, p. 2312-2315.

Research output: Contribution to journalArticle

Meduri, A, Inferrera, L, Oliverio, GW, 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', Journal of Craniofacial Surgery, vol. 29, no. 8, pp. 2312-2315. https://doi.org/10.1097/SCS.0000000000004838
Meduri, Alessandro ; Inferrera, Leandro ; Oliverio, Giovanni William ; Tumminello, Giuseppe ; Rechichi, Miguel ; Mazzotta, Cosimo ; Frisina, Rino ; Kaufman, Stephen ; Aragona, Pasquale. / The use of a double suture and conjunctival cuts in the lateral tarsal strip : A new approach to involutional ectropion. In: Journal of Craniofacial Surgery. 2018 ; Vol. 29, No. 8. pp. 2312-2315.
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