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

Keywords

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

Fingerprint Dive into the research topics of 'The use of a double suture and conjunctival cuts in the lateral tarsal strip: A new approach to involutional ectropion'. Together they form a unique fingerprint.

  • Cite this

    Meduri, A., Inferrera, L., Oliverio, G. W., 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, 29(8), 2312-2315. https://doi.org/10.1097/SCS.0000000000004838