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Skin-redraping epicanthoplasty combined with the modified Hotz procedure to treat recurrent trichiasis in adults caused by congenital entropion

  • Author Footnotes
    1 Tao Ma and Lianji Xu contributed equally to this study.
    Tao Ma
    Correspondence
    Corresponding author at: Department of Plastic and Reconstructive Surgery, Beijing Tongren Hospital, Capital Medical University, No. 1 Dongjiaominxiang, Dongcheng district, Beijing 100730, China.
    Footnotes
    1 Tao Ma and Lianji Xu contributed equally to this study.
    Affiliations
    Department of Plastic and Reconstructive Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, Republic of China
    Search for articles by this author
  • Author Footnotes
    1 Tao Ma and Lianji Xu contributed equally to this study.
    Lianji Xu
    Footnotes
    1 Tao Ma and Lianji Xu contributed equally to this study.
    Affiliations
    Department of Plastic and Reconstructive Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, Republic of China
    Search for articles by this author
  • Yanming Chen
    Affiliations
    Department of Plastic and Reconstructive Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, Republic of China
    Search for articles by this author
  • Junyi Zhang
    Affiliations
    Department of Plastic and Reconstructive Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, Republic of China
    Search for articles by this author
  • Xinming Han
    Affiliations
    Department of Plastic and Reconstructive Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, Republic of China
    Search for articles by this author
  • Author Footnotes
    1 Tao Ma and Lianji Xu contributed equally to this study.
Published:October 03, 2022DOI:https://doi.org/10.1016/j.bjps.2022.09.001

      Abstract

      Objective

      To report the efficacy of skin-redraping epicanthoplasty combined with the modified Hotz procedure for the management of recurrent trichiasis in adults caused by congenital entropion.

      Methods

      A retrospective chart review of nine recurrent trichiasis patients caused by congenital entropion was performed. All the patients were adults, and the follow-up period lasted more than 6 months. Success was defined as no recurrence of the trichiasis.

      Results

      The mean age of the patients was 22.7 ± 2.83 years, and the mean period of follow-up was 10.8 ± 4.15 months. The complete correction of trichiasis was observed in all patients, and there was no recurrence during the follow-up period. The ratio of the medial sclera area to the cornea area was enhanced from 0.25 ± 0.08 to 0.37 ± 0.11. Preoperatively, five patients were categorized as grade 2, and four patients were categorized as grade 3 of the Taylor classification, and all the patients were categorized as grade 0 after surgery. The preoperative severity of keratopathy was grade 3 in six patients and grade 2 in three patients. The preoperative lower lid horizontal skin fold heights were class 4 in six patients and class 3 in three patients. All the patients were grade 0 and class 1 after surgery.

      Conclusion

      Skin-redraping epicanthoplasty combined with the modified Hotz procedure is reasonably successful in managing recurrent trichiasis in adults.

      Keywords

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