The application of suture anchor technique in postblepharoplasty lower eyelid malposition treatment
10.3760/cma.j.cn114453-20211213-00464
- VernacularTitle:带线锚钉软组织悬吊骨锚定技术在医源性下睑异位治疗中的应用
- Author:
Hanbo LI
1
;
Yanyong ZHAO
Author Information
1. 中国医学科学院北京协和医学院整形外科医院耳再造中心，北京 100144
- Keywords:
Blepharoplasty;
Lower eyelid malposition;
Lower eyelid retraction;
Lower eyelid ectropion;
Suture anchor
- From:
Chinese Journal of Plastic Surgery
2022;38(8):892-898
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To introduce a suture anchor technique and its outcomes in the repair of lower eyelid malposition caused by previous blepharoplasty.Methods:Patients with lower eyelid malposition treated with this technique in Plastic Surgery Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College from September 2017 to January 2021 were enrolled. This series included patients with lower eyelid malposition caused by lower blepharoplasty, with or without revision surgery. The suture anchor technique was used to suspend the orbicularis oculi musculocutaneous flap under local infiltrative anesthesia with all patients.Results:A total of 47 patients (64 eyes) were enrolled in this study, including 11 lower eyelid retraction cases (12 eyes) and 36 ectropion cases (52 eyes). The age range was 27 to 61 years (average: 43 years). Thirty-seven patients had their revision surgery for the first time and 10 patients had their second operation more than once. Patients were followed up for 6-24 months. Forty-six patients (63 eyes, 98.4%) shown normal lower eyelid position with satisfied shape, without obvious ectopia, valgus deformity or eyelid exposure. One patient (1 eye, 1.6%) of postoperative anchored area infection was controlled after drainage and dressing changes. The surgical incisions were healed, and the lower eyelid malposition was improved with patient’s satisfactory.No recurrence was observed.Conclusions:The absorbable suture anchor technique is an effective, minimally invasive, and safe method for correcting post-blepharoplasty lower eyelid malposition.
