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



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.


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


Subtarsal incision Ectropion Frost suture 


  1. 1.
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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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