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Correction of involutional entropion using a rhytidoplasty technique

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Abstract

The pathophysiology of involutional entropion is multifactorial and correction of the multiple causes may require use of a combination of procedures. Here, we report the outcome of treatment of entropion of the lower eyelid using the rhytidoplasty and modified Celsus–Hotz procedure for 29 Japanese patients. The patients comprised nine males and 20 females of age 44 to 86 years old (average age 69 years old). A postoperative assessment was performed in our office or by telephone interview. There were no cases of secondary ectropion and almost all of the patients were pleased with the results. This combined procedure is a simple approach with reduced invasiveness that can address almost all the main factors that contribute to formation of involutional entropion in Asian patients. In our patients, postoperative complications were rare and the results were satisfactory in terms of functional and aesthetic improvement.

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References

  1. Jones LT, Reeh MJ, Wobig JL (1972) Senile entropion: a new concept for correction. Am J Ophthalmol 74:372–379

    Google Scholar 

  2. Jones LT (1960) The anatomy of the lower lid and its relation to the cause and cure of entropion. Am J Ophthalmol 49:29–36

    PubMed  CAS  Google Scholar 

  3. Fow A (1976) Senile entropion. Annu Ophthalmol 8:167–172

    Google Scholar 

  4. Dalgleish R, Smith JIS (1966) Mechanics and histology of senile entropion. Br J Ophthamol 50:79–91

    Article  CAS  Google Scholar 

  5. Schaeffer A (1987) Involutional entropion. In: Smith BC, Della Rocca RC, Nesi FA, Lisman RD (eds) Ophthalmic plastic and reconstructive surgery. Mosby, St. Louis, pp 546–555

    Google Scholar 

  6. Leonid S (2003) A review of entropion and its management. Contact Lens Anterior Eye 26:95–100

    Article  Google Scholar 

  7. Quickert MH, Rathbun E (1970) Suture repair of entropion. Arch Ophthalmol 1:20–23

    Google Scholar 

  8. Wright M, Bell D, Scott C, Leatherbarrow B (1999) Everting suture correction of lower lid involutional entropion. Br J Ophthalmol 83:1060–1063

    Article  PubMed  CAS  Google Scholar 

  9. Weis FA (1954) Surgical treatment of entropion. J Int Coll Surg 21:58–60

    Google Scholar 

  10. Lesavoy MA, Gomez-Garcia A, Sheng F, Yospur G, Gimbel ML (2006) Correction of involutional entropion by horizontal tangential wedge excision of the tarsus. Annu Plast Surg 56:330–335

    Article  CAS  Google Scholar 

  11. Collin JRO (1989) A manual of systematic eyelid surgery, 2nd edn. Churchill Livingstone, Edinburgh, pp 20–23

    Google Scholar 

  12. Anderson RL, Gordy DD (1979) The tarsal strip procedure. Arch Ophthalmol 97:2192–2196

    PubMed  CAS  Google Scholar 

  13. Danks JJ, Rose GE (1998) Involutional lower lid entropion: to shorten? Ophthalmol 106:2065–2067

    Article  Google Scholar 

  14. Fox SA (1972) Surgery of senile ectropion and entropion. Annu Ophthalmol 4:217–231

    CAS  Google Scholar 

  15. Rougraff PM, Tse DT, Johnson TE, Feuer W (2001) Involutional entropion repair with fornix sutures and lateral tarsal strip procedure. Ophthalmic Plast Reconstr Surg 17:281–287

    Article  CAS  Google Scholar 

  16. Henry MS, Nassim T, Donald RN (2006) Correction of involutional entropion with suborbicularis septal and lateral canthal tightening. Plast Reconstr Surg 117:1560–1567

    Article  CAS  Google Scholar 

  17. Ho SF, Pherwani A, Elsherbiny SM, Reuser T (2005) Lateral tarsal strip and Quickert sutures for lower eyelid entropion. Ophthalmic Plast Surg 21:345–348

    Article  Google Scholar 

  18. Wesley RE, Collins JW (1983) Combined procedure for senile entropion. Ophthalmic Surg 14:401–405

    PubMed  CAS  Google Scholar 

  19. Mauriell JA, Abdelsalam A (1997) Modified corncrib (inverted T) procedure with Quickert suture for repair of involutional entropion. Ophthalmol 104:504–507

    Google Scholar 

  20. Carroll RP, Allen SE (1991) Combined procedure for repair of involutional entropion. Ophthalmic Plast Reconstr Surg 7:123–127

    Article  CAS  Google Scholar 

  21. Carter SR, Chang J, Aguilar GL, Rathbun JE, Seiff SR (2000) Involutional entropion and ectropion of the Asian lower eyelid. Ophthalmic Plast Reconstr Surg 16:45–49

    Article  CAS  Google Scholar 

  22. Rees TD (1980) Aesthetic plastic surgery. Saunders, Philadelphia, p 502

    Google Scholar 

  23. Nakazato K, Matsuoka K, Tanabe Y, Makino Y, Torii S (2005) Horizontal posterior lamella resection for refractory senile entropion. Jpn J Plast Surg 48:129–135

    Google Scholar 

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Correspondence to Masatsugu Kondo.

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Kondo, M., Minakawa, H., Funayama, E. et al. Correction of involutional entropion using a rhytidoplasty technique. Eur J Plast Surg 32, 181–184 (2009). https://doi.org/10.1007/s00238-009-0336-5

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  • DOI: https://doi.org/10.1007/s00238-009-0336-5

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