아래덧눈꺼풀 환자에서 장기 관찰한 전층회전봉합을 병용한 최소절제법의 효과
Surgical Outcome of Minimal Resection with Full Thickness Rotating Suture Technique for Lower Lid Epiblepharon
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목적: 아래덧눈꺼풀 환자에서 피부 및 눈둘레근 최소절제와 전층회전봉합술을 병용하여 시행하는 방법을 소개하고 이 방법의 유용성을 보고하고자 한다. 대상과 방법: 2004년 1월부터 2015월 12월 사이 아래눈꺼풀 덧눈꺼풀로 진단 받고 교정수술을 받은 환자 중 수술 후 6개월 이상 경과관찰된 환자들을 대상으로 의무기록을 후향적으로 조사하였다. 수술은 1인의 술자에 의해 시행되었으며 아래눈꺼풀 피부와 눈둘레근을 최소절제한 후 비흡수성 봉합사를 이용하여 전층회전봉합술을 시행하였다. 결과: 총 943명의 환자가 연구에 포함되었고 이 중 남자는 403명, 여자는 540명이었다. 평균 나이는 6.7 ± 2.4세였고 평균 추적관찰 기간은 12.9 ± 7.2개월이었다. 904명(95.9%)의 환자가 최종경과관찰시점까지 재발 없이 모양과 기능이 잘 유지가 되었으며 재발한 환자 39명(4.1%) 중 19명(2%)이 재수술을 받았다. 결론: 아래눈꺼풀의 덧눈꺼풀 교정에 사용된 최소피부절제와 전층회전봉합술은 피부절개를 최소화하고 교정이 부족한 부분은 전층회전봉합술을 추가적으로 시행함으로써 합병증은 적으면서도 높은 수술 성공률을 얻을 수 있다.
Abstract
Purpose: To introduce the minimal skin and orbicularis oculi muscle resection with the full thickness rotating suture technique for lower lid epiblepharon and to assess its surgical outcome. Methods: A retrospective review of medical records was performed on lower lid epiblepharon patients who were followed for more than 6 months after surgical correction performed between January 2004 and December 2015. All surgeries were performed by one surgeon using minimal skin and orbicularis oculi muscle resection and the full thickness rotating suture technique for lower lid epiblepharon correction. Results: A total of 943 lower lid epiblepharon patients (403 male, 540 female) were included in the analysis. The mean patient age was 6.7 ± 2.4 years, and the mean postoperative follow-up was 12.9 ± 7.2 months. Eyelid shape and function were well maintained in 904 patients (95.9%), with no recurrence during follow-up. Among the recurrent cases (39 patients [4.1%]), 19 patients (2%) underwent a second correction surgery. Conclusions: Minimal skin and orbicularis oculi muscle resection with the full thickness rotating suture technique for lower lid epiblepharon showed good surgical outcome with few complications and high success rate.
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