Correction of Congenital Entropion of the Lower Eyelid: Incisional versus Rotational Surgery

Serafino, Massimiliano; Bottoli, A.; Nucci, Paolo

doi:10.1177/112067210501500503

Cited by 6 publications

(7 citation statements)

References 11 publications

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“…A. Deka and S.P. Saikia orbit Incisional and rotational surgeries are very effective for congenital entropion (Serafino et al, 2005). However, a previous study had showed the effectiveness of botulinum toxin injection in children with congenital entropion (Christiansen et al, 2004).…”

Section: Discussionmentioning

confidence: 98%

Botulinum Toxin for Lower Lid Entropion Correction

Deka¹,

Saikia²

2011

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This prospective clinical study was designed to evaluate the efficacy of botulinum toxin for temporary treatment of senile and congenital lower lid entropion. Seventeen patients with senile entropion and three children with congenital entropion were treated with botulinum toxin injection into the preseptal orbicularis muscle of lower lid. This resulted in transient relieve of the condition, which lasted for a period of 8-26 weeks. This technique is easy and effective for senile entropion as well as certain cases of congenital entropion.

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Section: Discussionmentioning

confidence: 98%

Botulinum Toxin for Lower Lid Entropion Correction

Deka¹,

Saikia²

2011

Orbit

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“…While variations of the Hotz procedure have previously been described in congenital entropion and epiblepharon repair, these approaches use the procedure for the purposes of everting the anterior lamella. 12,16,19 Unlike these previous studies, the reformation of the lower eyelid crease described herein is simply done to minimize the appearance of the incision or scar; it is not intended to alter the position of the anterior lamella or overlying lashes. Instead, eversion is accomplished through the rotational sutures.…”

Section: Discussionmentioning

confidence: 99%

“…Transection of the anterior layer of the LER was hypothesized as the cause, and repair was accomplished by reforming the crease using the Hotz procedure 2 . The everting force provided by the Hotz procedure may also contribute to rotation of the lid as the procedure performed in isolation was reported to result in satisfactory correction of congenital entropion in which posterior eyelid retractor disinsertion was the primary cause 12 . However, in the current proposed technique, the modified Hotz procedure is intended for cosmetic benefit, not lid eversion.…”

Section: Discussionmentioning

confidence: 99%

Subciliary Rotating Sutures Combined With Modified Hotz Procedure for Correction of Congenital Lower Eyelid Entropion

Khuu

Michels

2023

Ann Plast Surg

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PurposeStandard techniques for the treatment of congenital lower eyelid entropion may not yield suitable outcomes or may result in overcorrection if disinsertion of the lower eyelid retractors is not the primary cause. Herein, we propose and evaluate a technique using subciliary rotating sutures combined with a modified Hotz procedure for repair of lower eyelid congenital entropion that addresses these concerns.MethodsA retrospective chart review was conducted of all patients who underwent lower eyelid congenital entropion repair by a single surgeon using subciliary rotating sutures combined with a modified Hotz procedure between 2016 and 2020. Study variables included patient demographics, follow-up period, postoperative complications, operative success, and recurrence.ResultsTwelve patients (19 eyelids) met the study inclusion criteria. The mean patient age was 7.1 ± 6.1 years (range, 0.2–22 years). Nine of the patients were female (75%) and 3 were male (25%). The distribution of eyelids was 8 right (42%) and 11 left (58%). The mean follow-up time was 19.5 ± 15 (range 2.5–45) months. There were two eyelids (11%) that had entropion recurrence after initial repair in patients with concomitant compound disease processes. Repeated repair resulted in success with no recurrence at last follow-up. Overall, the described entropion repair technique was successful and without recurrence in 17 eyelids (89%). There were no cases of ectropion, lid retraction, or other complications.ConclusionsSubciliary rotating sutures combined with a modified Hotz procedure are effective for correction of congenital lower eyelid entropion. As the technique does not manipulate the posterior layer of the lower eyelid retractors, it may be useful for when retractor reinsertion does not yield adequate improvement and may also reduce the risk of eyelid retraction and overcorrection in particular cases.

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“…reported a series of successful lower lid congenital entropion repair utilizing a rotational suture technique similar to ours, as well as incisional technique. 5 Bosniak reported a case of congenital upper lid entropion associated with a tarsal kink. His technique involved a rotational suture that entered the upper eyelid conjunctiva near the base of the lid, then carried the sutures through the tarsus and emerged through the skin superiorly (the opposite direction of our sutures).…”

Section: Discussionmentioning

confidence: 99%

Bedside repair of congenital upper eyelid entropion: A variation of the Quickert suture technique

Warner

Wasserman

Lai

2016

American Journal of Ophthalmology Case Reports

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PurposeThe current literature is void of any lasting bedside treatments for congenital upper eyelid entropion repair.ObservationsA six-day old male was born with bilateral upper eyelid entropion associated with a duplication of the long arm of chromosome 3q11.1-q24. Conservative management with ocular lubrication and observation did not yield spontaneous resolution, and surgical intervention was performed at the bedside with a Quickert suture technique.Conclusions and importanceWe discuss the novel use of this technique and review the relevant literature. Our technique is something not previously described in the literature for congenital upper eyelid entropion. It obtained satisfactory and sustained resolution.

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Correction of Congenital Entropion of the Lower Eyelid: Incisional versus Rotational Surgery

Abstract: The authors consider both techniques satisfactory, but the procedure of choice, considering the age of the patients and previous studies, remains rotational sutures because of its simplicity, quickness, and low risk of complication.

Cited by 6 publications

References 11 publications

Botulinum Toxin for Lower Lid Entropion Correction

Botulinum Toxin for Lower Lid Entropion Correction

Subciliary Rotating Sutures Combined With Modified Hotz Procedure for Correction of Congenital Lower Eyelid Entropion

Bedside repair of congenital upper eyelid entropion: A variation of the Quickert suture technique

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