Fish tail resection for treating congenital entropion in Asians

Kazuaki Nakauchi, Osamu MimuraOphthalmology, Hyogo College of Medicine, Hyogo, JapanPreface: The Asian race has a high prevalence of congenital entropion. It was reported that over 20% of Japanese children have congenital entropion at the age of 1 year. One of the structural causes of this condition...

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Autores principales:	Nakauchi K, Mimura O.
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/fec3469e9322486c803359e8d4f805d8
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spelling	oai:doaj.org-article:fec3469e9322486c803359e8d4f805d82021-12-02T03:24:29ZFish tail resection for treating congenital entropion in Asians1177-54671177-5483https://doaj.org/article/fec3469e9322486c803359e8d4f805d82012-05-01T00:00:00Zhttp://www.dovepress.com/fish-tail-resection-for-treating-congenital-entropion-in-asians-a10002https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Kazuaki Nakauchi, Osamu MimuraOphthalmology, Hyogo College of Medicine, Hyogo, JapanPreface: The Asian race has a high prevalence of congenital entropion. It was reported that over 20% of Japanese children have congenital entropion at the age of 1 year. One of the structural causes of this condition is the development of epiblepharon, which attaches the lower eyelid to the upper eyelid, and is also common among Asians. However, designing a procedure for modifying an epicanthus flap is relatively difficult, and epicanthoplasty is not a popular procedure in Japan. In the present study, we developed an easy method of designing the surgery, and we describe both the surgical procedure and the outcome.Cases: Between January 2010 and August 2011, one surgeon performed surgery to correct congenital entropion in 28 patients. We analyzed this series of 28 cases retrospectively. The patients consisted of 17 females and eleven males with an average age of 7.6 years. Ten patients with a thick epicanthal fold required epicanthoplasties in addition to lower lid procedures, and 18 patients with a thin epicanthal fold required only lower lid procedures.Surgical method: On the epicanthus, a small, triangular &ldquo;fish-tail&rdquo; flap that was 2 mm wide was designed and was located adjacent to a &ldquo;fish-body&rdquo; marking on the subciliary lower eyelid. After fish-tail resection, the residual medial edge was sutured to the corner of the epicanthus. A C-shaped epicanthus was changed into an L-shape by means of this procedure.Result: The fish-tail resection diminished the tension of the orbicularis in the superior direction. After a minimum of 6 months, the shape of the medial canthus remained L-shaped, and the cilia had stable orientations.Conclusion: This plasty is easy to design in conjunction with a Hotz procedure, and it is an effective means of correcting Asian congenital entropion. Recognizing the shape of a congenital entropion that is accompanied by epiblepharon is important for its radical treatment.Keywords: epiblepharon, congenital entropion, asian, modified Hotz, fish tailNakauchi KMimura O.Dove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 831-836 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Nakauchi K Mimura O. Fish tail resection for treating congenital entropion in Asians
description	Kazuaki Nakauchi, Osamu MimuraOphthalmology, Hyogo College of Medicine, Hyogo, JapanPreface: The Asian race has a high prevalence of congenital entropion. It was reported that over 20% of Japanese children have congenital entropion at the age of 1 year. One of the structural causes of this condition is the development of epiblepharon, which attaches the lower eyelid to the upper eyelid, and is also common among Asians. However, designing a procedure for modifying an epicanthus flap is relatively difficult, and epicanthoplasty is not a popular procedure in Japan. In the present study, we developed an easy method of designing the surgery, and we describe both the surgical procedure and the outcome.Cases: Between January 2010 and August 2011, one surgeon performed surgery to correct congenital entropion in 28 patients. We analyzed this series of 28 cases retrospectively. The patients consisted of 17 females and eleven males with an average age of 7.6 years. Ten patients with a thick epicanthal fold required epicanthoplasties in addition to lower lid procedures, and 18 patients with a thin epicanthal fold required only lower lid procedures.Surgical method: On the epicanthus, a small, triangular &ldquo;fish-tail&rdquo; flap that was 2 mm wide was designed and was located adjacent to a &ldquo;fish-body&rdquo; marking on the subciliary lower eyelid. After fish-tail resection, the residual medial edge was sutured to the corner of the epicanthus. A C-shaped epicanthus was changed into an L-shape by means of this procedure.Result: The fish-tail resection diminished the tension of the orbicularis in the superior direction. After a minimum of 6 months, the shape of the medial canthus remained L-shaped, and the cilia had stable orientations.Conclusion: This plasty is easy to design in conjunction with a Hotz procedure, and it is an effective means of correcting Asian congenital entropion. Recognizing the shape of a congenital entropion that is accompanied by epiblepharon is important for its radical treatment.Keywords: epiblepharon, congenital entropion, asian, modified Hotz, fish tail
format	article
author	Nakauchi K Mimura O.
author_facet	Nakauchi K Mimura O.
author_sort	Nakauchi K
title	Fish tail resection for treating congenital entropion in Asians
title_short	Fish tail resection for treating congenital entropion in Asians
title_full	Fish tail resection for treating congenital entropion in Asians
title_fullStr	Fish tail resection for treating congenital entropion in Asians
title_full_unstemmed	Fish tail resection for treating congenital entropion in Asians
title_sort	fish tail resection for treating congenital entropion in asians
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/fec3469e9322486c803359e8d4f805d8
work_keys_str_mv	AT nakauchik fishtailresectionfortreatingcongenitalentropioninasians AT mimurao fishtailresectionfortreatingcongenitalentropioninasians
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Fish tail resection for treating congenital entropion in Asians

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