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Rotating suture technique combined with lid margin split and lower eyelid retractor disinsertion for epiblepharon
Kenichi Kokubo1, Nobutada Katori2, Kengo Hayashi3
1Department of Plastic Surgery, Fujisawa Shounandai Hospital, 2345 Takakura, Fujisawa-shi, Kanagawa 251-0802, Japan; Department of Plastic and Reconstructive Surgery, Yokohama City University Medical Center, 4-57 Urafune, Minami-ku, Yokohama-shi, Kanagawa 232-0024, Japan.
This study evaluated a combined surgical technique for epiblepharon in children, finding low recurrence and complication rates. The rotating suture technique with lower eyelid retractor (LER) disinsertion offers effective treatment for this common eyelid condition.
Area of Science:
- Ophthalmology
- Pediatric Surgery
Background:
- Epiblepharon affects 46-52.5% of Asian children.
- The rotating suture technique is preferred over the Hotz procedure for epiblepharon treatment.
Purpose of the Study:
- To report the recurrence rate and complications of the rotating suture technique combined with lid margin split and lower eyelid retractor (LER) disinsertion for epiblepharon.
- To evaluate the efficacy of this combined surgical approach.
Main Methods:
- Retrospective study of 64 eyelids in 37 patients (ages 5-28) from January 2017 to December 2020.
- Patients underwent simultaneous rotating suture technique, lid margin split, and LER disinsertion for lower eyelid epiblepharon.
- Follow-up was conducted for at least 6 months.
Main Results:
- Recurrence observed in only one eyelid (1.6%).
- One complication of ectopic eyelash noted (1.6%).
- LER disinsertion corrected lamellar imbalance and facilitated suture placement.
Conclusions:
- The combined technique of rotating suture, lid margin splitting, and LER disinsertion shows promising results for epiblepharon.
- This approach effectively addresses lamellar imbalance and ensures reliable suture fixation.
- Low recurrence and complication rates suggest a safe and effective treatment option.
