가쪽눈꺼풀판띠고정술과 퀴커트 봉합술을 동시에 시행한 퇴행성 눈꺼풀속말림의 치료결과분석
Lateral Tarsal Strip Procedure Combined with Quickert Sutures in Correcting Involutional Entropion
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목적: 퇴행성 눈꺼풀속말림 환자에서 가쪽눈꺼풀판띠고정술과 Quickert 봉합술을 동시에 시행한 후 장기적 치료 효과에 대해 알아보았다. 대상과 방법: 2003년 2월부터 2010년 2월까지 본원에 내원한 퇴행성 눈꺼풀속말림 환자 중 가쪽눈꺼풀판띠고정술과 Quickert 봉합술을동시에 시행한 환자 중 추적기간이 6개월 이상인 71명 82안을 대상으로 후향적으로 의무기록을 조사하였다. 결과: 수술 후 추적관찰기간은 6개월에서 78개월(평균 40.2개월)이었고, 평균 나이는 63.5세였다. 연구 대상 82안 중 3안이 재발했으며, 재발률은 3.6%이었다. 재발한 3안 중 2안은 술 후 6개월째 재발하였으며, Quickert 봉합술만으로 교정하여 이후로는 재발하지않았다. 나머지 재발한 1안은 술 후 1년 4개월에 재발하였으며, Quickert 봉합술만으로 교정하여 2년간의 추적관찰기간 동안 재발 소견은 관찰되지 않았다. 결론: 퇴행성 눈꺼풀속말림 환자의 교정수술로서 가쪽눈꺼풀판띠고정술과 Quickert 봉합술을 동시에 시행하여 3년 이상 비교적 장기간경과 관찰하였을 때 효과적인 치료결과를 얻었으며, 가쪽눈꺼풀판띠고정술과 Quickert 봉합술을 독립적으로 시행한 경우보다 재발률을 줄일 수 있었다.
Abstract
Purpose: To evaluate long-term effectiveness of lateral tarsal strip procedure combined with Quickert sutures in correcting involutional entropion. Methods: The retrospective study reviewed 82 eyes of 71 patients with involutional entropion whose follow-up period was more than 6 months among patients who underwent lateral tarsal strip procedure combined with Quickert sutures between February 2003 and February 2010. Results: The postoperative follow-up period was 6 months to 78 months (average 40.2 months) and the average age was 63.5 years. Out of 82 eyes, 3 eyes recurred and the recurrence rate in the lateral tarsal strip procedure combined with Quickert sutures was 3.6%; postoperative overcorrection was not observed. Out of the 3 recurrence cases, 2 eyes both recurred 6 months after the operation and were treated by Quickert sutures alone with no recurrence. The other case recurred 1 year and 4 months after lateral tarsal strip procedure combined with Quickert sutures and was corrected by this operation again. There was no recurrence for a follow-up period of 2 years. Conclusions: An effective approach was obtained during long-term follow-up when lateral tarsal strip procedure combined with Quickert sutures was conducted as repairing operations in involutional entropion. The approach showed lower recurrence rate than the existing reports of operations such as lateral tarsal strip procedure or Quickert sutures when conducted alone and provided long-lasting effectiveness in the correction of involutional entropion.
참고문헌 (37)
- Nesi FA, "Ophthalmic and Facial Plastic Surgery : A Compendium of Reconstructive and Aesthetic Techniques", pp.83~89 (2001), Slack Incorporated
- Levine MR, "Involutional entropion, In Ophthalmic Plastic and Reconstructive Surgery" (1998), Mosby
- Ha JK, "Surgical treatment of sensile entropion", J Korean Ophthalmol Soc, 39, pp.631~636 (1998)
- Jones LT, "Senile entropion. A new concept for correction", Am J Ophthalmol, 74, pp.327~329 (1972)
- Clarke JR, "Treatment of senile entropion with botulinum toxin", Br J Ophthalmol, 72, pp.361~362 (1988)
- Irvine S, "The entropion patch: a method of temporarily correcting involutional entropion with adhesive tape", Ophthalmic Surg, 25, pp.604~606 (1994)
- Kim JY, "Surgical correction of senile entropion", J Korean Ophthalmol Soc, 33, pp.1015~1020 (1992)
- Hotz FC, "A new operation for entropion and trichiasis", Arch Ophthalmol, 8, pp.249~263 (1879)
- JONES LT, "An anatomical approach to problems of the eyelids and lacrimal apparatus", Arch Ophthalmol, 66, pp.111~124 (1961)
- Wesley RE, "Combined procedure for senile entropion", Ophthalmic Surg, 14, pp.401~405 (1983)
- Schaefer AJ, "Variation in the pathophysiology of involutional entropion and its treatment", Ophthalmic Surg, 14, pp.653~655 (1983)
- Dortzbach RK, "Involutional entropion of the lower eyelid", Adv Ophthalmic Plast Reconstr Surg, 2, pp.257~267 (1983)
- Hargiss JL, "Inferior aponeurosis vs orbital septum tucking for senile entropion", Arch Ophthalmol, 89, pp.210~213 (1973)
- Hurwitz JJ, "Senile entropion: the importance of eyelid laxity", Can J Ophthalmol, 18, pp.235~237 (1983)
- Bick MW, "Surgical management of orbital tarsal disparity", Arch Ophthalmol, 75, pp.386~389 (1966)
- Hedin A, "Senile entropion - cure rate by retractor tightening and horizontal shortening", Acta Ophthalmol Scand, 75, pp.443~446 (1997)
- Anderson RL, "The tarsal strip procedure", Arch Ophthalmol, 97, pp.2192~2196 (1979)
- Wheeler JM, "Spastic entropion correction by orbicularis transplantation", Trans Am Ophthalmol Soc, 36, pp.157~162 (1938)
- Rougraff PM, "Involutional entropion repair with fornix sutures and lateral tarsal strip procedure", Ophthal Plast Reconstr Surg, 17, pp.281~287 (2001)
- Scheepers MA, "A randomized controlled trial comparing everting sutures with everting sutures and a lateral tarsal strip for involutional entropion", Ophthalmology, 117, pp.352~355 (2010)
- 윤재문, "퇴행성 눈꺼풀속말림의 수술방법에 따른 치료결과 분석", 대한안과학회지, 49(12), pp.1877~1887 (2008), 대한안과학회
- 배숭환, "퇴행성 아래눈꺼풀속말림의 치료에 있어 퀴커트 봉합술의 효과", 대한안과학회지, 46(7), pp.1103~1107 (2005), 대한안과학회
- Jones LT, "An anatomical approach to problems of the eyelids and lacrimal apparatus", Arch Ophthalmol, 66, pp.111~124 (1961)
- Dresner SC, "Transconjunctival entropion repair", Arch Ophthalmol, 111, pp.1144~1148 (1993)
- Carroll RP, "Combined procedure for repair of involutional entropion", Ophthal Plast Reconstr Surg, 7, pp.123~127 (1991)
- Chung WS, "Surgical treatment of involutional entropion", J Korean Ophthalmol Soc, 33, pp.18~22 (1992)
- Ahn Y, "Correction of involutional entropion by the amount of lower eyelid laxity", J Korean Ophthalmol Soc, 40, pp.596~602 (1999)
- Quickert MH, "Suture repair of entropion", Arch Ophthalmol, 85, pp.304~305 (1971)
- Bick MW, "Surgical management of orbital tarsal disparity", Arch Ophthalmol, 75, pp.386~389 (1966)
- Levine MR, "Involutional entropion", Ophthalmic Pract, 5, pp.118~139 (1987)
- Anderson RL, "The tarsal strip procedure", Arch Ophthalmol, 97, pp.2192~2196 (1979)
- Jackson ST, "Surgery for involutional entropion", Ophthalmic Surg, 14, pp.322~326 (1983)
- Martin RT, "Entropion, trichiasis, and distichiasis, In Oculoplastic Surgery, 3rd ed" (1995), Raven Press
- Hecht SD, "Bowlegs procedure for recurrent and primary senile entropion", Ann Ophthalmol, 13, pp.119~120 (1981)
- Saunders DH, "The “corncrib” repair of senile entropion", Ophthalmic Surg, 11, pp.128~130 (1980)
- Tenzel RR, "The use of the “lateral canthal sling” in ectropion repair", Can J Ophthalmol, 12, pp.199~202 (1977)
- Benger RS, "A comparative study of eyelid parameters in involutional entropion", Ophthal Plast Reconstr Surg, 5, pp.281~287 (1989)