Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Prevention of Lower Eyelid Complications Caused by a Subciliary Approach: Temporary Lower Eyelid Suspension

속눈썹밑 접근법에 의한 아래눈꺼풀 합병증의 예방: 일시적 아래눈꺼풀 걸기술

  • Burm, Jin Sik (Department of Plastic and Reconstructive Surgery, Ewha Womans University College of Medicine) ;
  • Kim, Boo Yeong (Department of Plastic and Reconstructive Surgery, Ewha Womans University College of Medicine) ;
  • Kim, Yang Woo (Department of Plastic and Reconstructive Surgery, Ewha Womans University College of Medicine)
  • 범진식 (이화여자대학교 의과대학 성형외과학교실) ;
  • 김부영 (이화여자대학교 의과대학 성형외과학교실) ;
  • 김양우 (이화여자대학교 의과대학 성형외과학교실)
  • Received : 2006.02.17
  • Published : 2006.07.10
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Abstract

Purpose: Subciliary approaches to orbitozygomatic fractures have high incidence of complications such as scleral show and ectropion. Abnormal rearrangement of eyelid flaps may be a very important factor to induce abnormal cicatrical and consequent contracture. To prevent this problem, we used temporary lower eyelid suspension. Methods: A total of two hundred five patients were investigated for lower eyelid complication of orbitozygomatic fractures that underwent reconstruction with subciliary approach. The lower eyelid margin was pulled up toward the forehead using lower eyelid suspension suture to stretch the lower lid flaps. The lid suspension was maintained for one day after surgery. Results: The complications of the lower eyelid were in 15 cases(7.3%); seven cases(3.4%) of visible depressed scar, three cases(1.4%) of scleral show, two cases(1%) of ectropion, two cases(1%) of conjunctival swelling and one case(0.5%) of hematoma. Conclusions: The lower eyelid suspension seems to allow adhering lid flap in proper anatomical position and in the status of the maximal stretch and consequently preventing the severe complications such as scleral show and ectropion caused by scar contraction after subciliary approach.

Keywords

References

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