Report of three cases: the analysis of suture needles left in eyelid during double eyelid blepharoplasty
10.3760/cma.j.cn114453-20220412-00105
- VernacularTitle:重睑成形术中缝针脱入眼睑内3例
- Author:
Fengmei SHAN
1
;
Jie LI
;
Sha YANG
;
Xueying FENG
;
Fuhua WANG
Author Information
1. 山东第一医科大学附属眼科医院 山东省眼科医院 山东第一医科大学附属眼科研究所 山东省眼科学重点实验室-省部共建国家重点实验室培育基地 山东第一医科大学眼科学院，济南 250012
- Keywords:
Blepharoplasty;
Complication;
Foreign body;
Computed tomography
- From:
Chinese Journal of Plastic Surgery
2023;39(3):313-317
- CountryChina
- Language:Chinese
-
Abstract:
Authors summarized a case report of characteristics and treatment measures for three female patients (3 eyes) with sutures dislodged into the eyelids during blepharoplasty were admitted to the Department of Oculoplastics, Shandong Eye Hospital from December 2017 to February 2019. The ages of patients ranged from 19 to 35 years, with an average of 25 years. The needles were removed 1-14 days after the previous operation. None of the eyelid wounds showed infection, the height of bilateral palpebral fissures were symmetrical in all the patients, and no significant abnormalities were seen on ophthalmic examination. Orbit CT scan showed that all the stitches were located in the upper eyelid. All patients underwent skin incisions along the original double eyelid line, and needles were successfully removed under the direction of a magnet. The needles removed were whole in one case and partial in other two cases. All needles were stainless steel needles. The patients were followed up for 1 month to 4 years. One case was followed up for 4 years, the palpebral fissure height was almost symmetrical, and the double eyelid disappeared in the affected eye. Blepharoplasty was recommended. Another case was followed up for 1.5 years, the double eyelid was symmetrical. The eyelid edema of the other case resolved 1 month after the operation, and the patient was lost to follow-up half a year after surgery. The risk of surgical needle breaking and buried into the tissues in the process of double blepharoplasty should not be neglected. These accidents tend to occur in the temporal eyelid. Orbital CT scan and permanent magnet are helpful in locating and surgically removing these foreign bodies.
