Lateral tarsal strip versus Bick’s procedure in correction of eyelid malposition

Vahdani, Kaveh; Ford, Rebecca; Garrott, Helen; Thaller, V T

doi:10.1038/s41433-018-0048-9

Cited by 33 publications

(28 citation statements)

References 10 publications

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“…Traditionally, lateral musculopexy is applied for mild laxity, lateral canthopexy for moderate laxity, whereas lateral canthoplasty is performed for severe laxity with an excision of 3 to 5 mm of lateral lid margin, followed by suturing the tarsal strip to the lateral orbital rim. As early as 1966, Bick's procedure, which has been described to be superior to lateral tarsal strip, was proposed to correct involutional lower eyelid malposition 20,21 . Subsequently, several modified techniques have been devised to treat ectropion of the lower eyelids.…”

Section: Discussionmentioning

confidence: 99%

Lateral Tarsoplasty for Managing Ectropion and Laxity of the Lower Eyelid

Hsieh¹,

Lai²,

Wang

et al. 2022

Ann Plast Surg

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Section: Discussionmentioning

confidence: 99%

Lateral Tarsoplasty for Managing Ectropion and Laxity of the Lower Eyelid

Hsieh¹,

Lai²,

Wang

et al. 2022

Ann Plast Surg

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“…The most frequently used surgical procedure for ectropion repair in our study was the Bick technique in 59.1% of the cases, followed by lateral tarsal strip -22.7%. Vahdani et al compared the functional and anatomical outcomes of lateral tarsal strip (557 cases) with Bick's procedure (87 cases) in the treatment of eyelid malposition and found that Bick's procedure achieved statistically significant better anatomical and functional outcomes compared to lateral tarsal strip although the samples were unequal (27).…”

Section: Discussionmentioning

confidence: 99%

Eyelid reconstruction in ophthalmic surgical practice

Zlatarova

Nenkova

2020

SSM

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INTRODUCTION: Eyelid reconstruction is not implemented very often in ophthalmic surgical practice. Numerous surgical procedures exist, and the surgeon's experience is one of the leading factors for the choice of a technique. AIM: The aim of this article is to study the causes and frequency of eyelid surgeries at the Specialized Eye Hospital for а five-year period and to evaluate the chosen surgical approach in relation to patients' disease. MATERIALS AND METHODS:A retrospective study was conducted on all patients who underwent eyelid surgery in the hospital for the study period (2011)(2012)(2013)(2014)(2015). Detailed information was collected on demographic data, clinical details for the diagnosis, histological results, and type of surgery. RESULTS: A total of 692 reconstructive eyelid surgeries were performed, which represents 5.63% of all surgeries in the hospital for the study period. The most common cause of planed eyelid surgery was tumor excision (50.8%) and the used reconstructive procedures were: direct closure in 78.3% of cases, skin flap transposition -15.5%, Hughes procedure -3.1%, full-thickness skin graft -2.7%, and Cutler-Beard procedure -0.4%. Entropion was diagnosed in 18.5%, ectropion -13.0%, dermatochalasis -9.1%, and ptosis -8.5% of the planned surgeries. The most frequently used technique for entropion repair was the Quickert procedure -44.7% and for ectropion repair this was the Bick procedure -59.1%. Ptosis was acquired in 62.8% of cases, and the most frequently used technique was aponeurosis surgery -57.2%. CONCLUSION: Eyelid reconstruction is an important branch of oculoplastic surgery. We found that tumor excision was the most common reason for planned eyelid surgeries. In recent years, the number of blepharoplasties has increased markedly.

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“…Strip fixation to the inner periosteum of the lateral orbital rim at the corresponding area of Whitnall’s tubercule was performed with the use of a 5.0 double-armed braided polyester suture (Ethibond, Ethicon USA). The orbicularis muscle and skin were closed in layers with interrupted 6.0 polyglactin absorbable sutures (Vicryl, Ethicon USA) [12]. Skin sutures were removed in 1 week.…”

Section: Methodsmentioning

confidence: 99%

Randomized Controlled Trial Comparing Everting Sutures with a Lateral Tarsal Strip for Involutional Lower Eyelid Entropion

et al. 2019

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Introduction To compare the anatomical and functional outcome and changes in the quality of life (QoL) over time of the lateral tarsal strip (LTS) versus the Quickert everting sutures (ES) for the repair of primary involutional lower eyelid entropion. Methods Forty-five patients (54 eyes) with primary involutional lower eyelid entropion were recruited in a prospective randomized clinical trial over 3-year period. Twenty-six eyes were randomized to the LTS technique and 28 to the ES procedure. Primary outcome was the anatomical correction of the eyelid at the final assessment in 1 year. Secondary outcomes were function and symptoms assessment with a QoL questionnaire at 6 months. Fisher’s exact test was used for the statistical analysis of success rate and gender study and Mann–Whitney U test and logistic regression analysis were used for age study. The Wilcoxon and Mann–Whitney U tests were used for the analysis of the National Eye Institute Visual Functioning Questionnaire-25 (NEI VFQ-25). Results At the 6-month follow-up, 25 eyes (96.2%) of the LTS group and 20 (71.4%) of the ES group had favorable outcome ( P = 0.025). There were one and eight eyes, respectively, with early recurrence. At the final 12-month evaluation, 23 eyes (88.5%) in the LTS group and 16 eyes (57.1%) in the ES group were successful. Three (11.5%) and 12 (42.9%) eyes respectively showed postoperative recurrence. There was a statistically significant difference between the two groups ( P = 0.015) for the primary outcome, whereas age and gender did not influence success. The NEI VFQ-25 showed statistically significant subjective improvement from baseline in most categories of the QoL. No significant difference between the two procedures was detected at 6 months. Conclusion This study suggests that the LTS procedure has a superior surgical success rate and reduction of symptoms compared with the ES for the repair of involutional lower eyelid entropion. Both procedures showed similar improvement of the postoperative QoL. Trial registration International Clinical Trials Registry Platform identifier: ACTRN12616000620426.

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Lateral tarsal strip versus Bick’s procedure in correction of eyelid malposition

Cited by 33 publications

References 10 publications

Lateral Tarsoplasty for Managing Ectropion and Laxity of the Lower Eyelid

Lateral Tarsoplasty for Managing Ectropion and Laxity of the Lower Eyelid

Eyelid reconstruction in ophthalmic surgical practice

Randomized Controlled Trial Comparing Everting Sutures with a Lateral Tarsal Strip for Involutional Lower Eyelid Entropion

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