아래눈꺼풀속말림 환자에서 비흡수성 봉합사를 이용한 개선된 퀴커트 봉합술

다국어 초록 (Multilingual Abstract)

Purpose: To introduce the modified Quickert suture for lower lid entropion, using nonabsorbable suture material. Methods: From October, 2011 to June, 2012, a total of 11 patients (12 eyes) with lower lid entropion, in poor general condition or who did not want extensive surgery, were recruited for the present surgery. Three small skin incisions were made at the medial, central, and lateral areas, just below the lower cilia. With double armed 6-0 nylon, each needle was inserted in the inferior conjuctival fornix and the 2 ends of the suture were tied and buried at the point of the skin incision site. Sutures were made at the medial, central and lateral areas. Results: The patients consisted of 4 males and 7 females with an average age of 71.3 ± 8.4 years (54-82 years). The patients were followed up the patients for an average of 13.9 ± 2.4 months postoperatively. All patients were satisfied with the outcome, and there were no recurrences. Conclusions: Quickert suture is a simple and effective method, for correcting lower lid entropion by inducing scar formation with absorbable suture materials, but the effect duration is limited. Because the modified Quickert suture utilizes its own tension with a nonabsorbable suture material, the effect lasts as long as the suture material remains. It is a useful and practicable method for patients, in poor general condition or not wanting extensive surgical procedures. J Korean Ophthalmol Soc 2014;55(12):1739-1744

참고문헌 (Reference)

1 배숭환, "퇴행성 아래눈꺼풀속말림의 치료에 있어 퀴커트 봉합술의 효과" 대한안과학회 46 (46): 1103-1107, 2005

2 지미정, "세 개의 작은 절개창, 두 봉합을 이용한 비절개 이중검 성형술의 효과" 대한안과학회 47 (47): 505-511, 2006

3 강상혁, "공유비점막이식편을 이용한 심한 반흔성 안검내반의 교정 1예" 대한안과학회 43 (43): 37-2340, 2002

4 김상원, "가쪽눈꺼풀판띠고정술과 퀴커트 봉합술을 동시에 시행한 퇴행성 눈꺼풀속말림의 치료결과분석" 대한안과학회 53 (53): 1213-1218, 2012

5 Paik HJ, "The effects of tenzel operation on cicatricial entropion" 34 : 943-949, 1993

6 Quickert MH, "Suture repair of entropion" 85 : 304-305, 1971

7 Ha JK, "Surgical treatment of sensile entropion" 39 : 631-636, 1998

8 Tsang S, "Surgical outcome of involutional lower eyelid entropion correction using transcutaneous everting sutures in Chinese patients" 34 : 865-868, 2014

9 Kim JY, "Surgical correction of senile entropion" 33 : 1015-1020, 1992

10 Goldberg RA, "Management of severe cicatricial entropion using shared mucosal grafts" 117 : 1255-1259, 1999

11 Pereira MG, "Eyelid entropion" 25 : 52-58, 2010

12 Wright M, "Everting suture correction of lower lid involutional entropion" 83 : 1060-1063, 1999

13 Ahn Y, "Correction of involutional entropion by the amount of lower eyelid laxity" 40 : 596-602, 1999

14 Zhang MY, "Construction of a double eyelid:an uncut strip of orbicularis removed through three miniincisions" 37 : 22-28, 2013

15 Scheepers MA, "A randomized controlled trial comparing everting sutures with everting sutures and a lateral tarsal strip for involutional entropion" 117 : 352-355, 2010