Journal of Maxillofacial and Oral Surgery

, Volume 16, Issue 4, pp 508–509 | Cite as

Subcuticular Suture Technique: Alternative to Frost Suture to Prevent Ectropion After Transcutaneous Incision of Lower Eyelid

  • Adarsh Kudva
  • Abhay Kamath
  • K. M. Cariappa
  • Srikanth Gadicherla
  • B. Vasantha Dhara
Technical Note
  • 164 Downloads

Abstract

Introduction

An ectropion is a complication that can arise from reconstruction in the infraorbital region. Often, this complication occurs despite proper positioning of the lower lid at the time of closure. Various transcutaneous approaches to orbit skeleton have investigated in view of complication arising from them. A subtarsal approach with a postoperative Frost suture gives an advantage to reduce the occurrence of ectropion especially after treatment of orbital floor fractures.

Material and methods

This case describes a method of subcuticular suturing technique for subtarsal incision of lower lid which can be used to support the lid during healing period, thus decreasing the rate of ectropion.

Conclusion

The technique described here is an alterative method for frost suturing with certain advantages.

Keywords

Subtarsal incision Ectropion Frost suture 

References

  1. 1.
    Ridgway EB, Chen C, Colakoglu S et al (2009) The incidence of lower eyelid malposition after facial fracture repair: a retrospective study and meta-analysis comparing sub-tarsal, subciliary, and transconjunctival incisions. Plast Reconstr Surg 124:1578CrossRefPubMedGoogle Scholar
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    Jelks GW, Jelks EB (2001) Prevention of ectropion in the reconstruction of facial defects. Clin Plast Surg 28(2):297–302PubMedGoogle Scholar
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    Edward B, Desciak MD, Yehuda D, Eliezri MD (2003) Temporary suspension suture (Frost suture) to help prevent ectropion after infraorbital reconstruction. J Am Acad Dermatol 49:1107–1108CrossRefGoogle Scholar
  4. 4.
    Jothi S, Moe KS (2007) Lower eyelid splinting: an alternative to the Frost suture. Laryngoscope 117(1):63–66CrossRefPubMedGoogle Scholar
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    Murphy Michael T, Bradrick Jon P (1995) Technique for Fixation of the Frost Suture. J Oral Maxillofac Surg 53:1360–1361CrossRefPubMedGoogle Scholar

Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2017

Authors and Affiliations

  • Adarsh Kudva
    • 1
  • Abhay Kamath
    • 2
  • K. M. Cariappa
    • 2
  • Srikanth Gadicherla
    • 2
  • B. Vasantha Dhara
    • 2
  1. 1.Manipal College of Dental SciencesManipalIndia
  2. 2.Department of Oral and Maxillofacial SurgeryMCODSManipalIndia

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