Osman AKDAĞ, Furkan Erol KARABEKMEZ, Mustafa SÜTÇÜ, Zekeriya TOSUN, Ahmet DUYMAZ, Mehtap KARAMEŞE

Ektropion Düzeltilmesinde Etkin Bir Yöntem: Kuhnt Szymanowski Tekniğinin Smith Modifikasyonu

AMAÇ: Ektropiyon göz kapağı kenarının dışa doğru kıvrılmasıdır. Bu çalışmanın amacı; involüsyonel ve paralitik ektropiyon onarımında kullanılabilecek kolay ve etkin bir yöntem olan Kuhnt Szymanowski tekniğinin Smith modifikasyonunun etkinliğinin ve estetik olarak kabul edilebilirliğinin değerlendirilmesidirYÖNTEMLER: Alt göz kapağında ektropiyon şikayeti ile kliniğimize başvuran ve Kuhnt Szymanowski tekniğinin Smith modifikasyonu ile tedavi edilen 5 hasta klinik ve fotoğrafik olarak incelendi. BULGULAR: Hiçbir olguda majör bir komplikasyon ya da nüks gözlenmedi. Ortalama 10 ay olan takip süresi sonunda tüm hastalar cerrahi sonuçtan memnundu. SONUÇ: Alt göz kapağında horizontal gevşekliğin daha ön planda olduğu involüsyonel ve paralitik ektropiyon olgularında Kuhnt Szymanowski tekniğinin Smith modifikasyonunun uygun bir cerrahi yöntem olduğu kanaatindeyiz.

Anahtar Kelimeler:

Ektropion, alt göz kapağı, Kuhnt Szymanowski

An Effective Method for Ectropion Correction: The Smith Modification of Kuhnt Szymanowski Techniqe

OBJECTIVE: Ectropion is eversion of the eyelid outwards. The aim of this study is evaluation of efficiency and acceptability of the Smith modification of the Kuhnt Szymanowski technique which is an easy and effective method of correction of involutional and paralytic ectropion in the aspect of aesthetic view. METHODS: Five patients presented to our clinic with lower eyelid ectropion and treated with Smith modification of Kuhnt Szymanowski technique investigated clinic and photographic way.RESULTS: Major complication or nux haven’t seen in any patients. All of the patients were satisfied with the result after ten months follow-up.CONCLUSION: We believe Smith modification of Kuhnt Szymanowski technique is appropriate surgical method for involutional and paralytic lower lid ectropion cases which have distinct horizontal laxity.

Keywords:

Ectropion, lower eyelid, Kuhnt Szymanowski,

PDF

___

Richards AM. Key notes on plastic surgery. 2002. Çev: Tosun Z. Plastik cerrahide temel ilkeler. İstanbul: Nobel Kitabevleri 138-144: 2007
Beaconsfield M. Ectropion. In: Collin R, Rose G, ed Fun- damentals of Clinical Ophthalmology Plastic and Orbital Surgery. London: BMJ Publishing Group; 2001:15-23.
Mathes SJ. Plastic surgery: the head and neck part 1. Philadelphia: Saunders Elsevier; 2006.
Vallabhanath P, Carter SR. Ectropion and entropion. Curr Opin Ophthalmol. 2000; 11(5): 345-51.
Watts MT, Dapling RB. Congenital eversion of the upper eyelid: A case report. Ophthal Plast Reconstr Surg. 1995;11(4): 293-295.
Alvarez EV, Wakakura M, Alvarez EI. Congenital eversion of upper eyelids: case report and management. Indian J Ophthalmol. 2006; 54(3): 203-4.
Piskiniene R. Eyelid malposition: Lower lid entropion and ectropion. Medicina (Kaunas) 2006; 42(11): 881-884.
Neigel JM. Congenital eversion of the upper eyelid: A case report. Plastic & Reconstructive Surgery. 1997;100(1): 287.
Glenn WJ, Byron S. Reconstruction of the eyelids and associated structures. In: Mc Charty C, ed. Plastic surgery. Philadelphia: W.B. Saunders Co; 1990:1744-52.
Marshall JA, Valenzuela AA, Strutton GM, Sullivan TJ. Anterior lamella actinic changes as a factor in involutional eyelid malposition. Ophthal Plast Reconstr Surg 2006; 22(3): 192-194.
Stefanyszyn M, Hidayat AA, Flanagan JC. The histopat- hology of involutional ectropion. Ophthalmology 1985; 92: 120–127.
Maden A. Okuloplastik cerrahi. İzmir: Punto Yayıncılık; 1995: 162-81.
Morax S, Touitou V. Complications of blepharoplasty. Orbit. 2006; 25(4):303-318.
Lemke BN, Cook BE Jr, Lucarelli MJ. Canthus-sparing ectropion repair. Ophthal Plast Reconstr Surg. 2001;17(3):161-168.
Neigel JM. Lidocaine for eyelid anesthesia. Plast Re- constr Surg 2002; 110(5):1386.
Aristodemou P, Baer R. Reversible cicatricial ectropion precipitated by topical brimonidine eye drops. Ophthal Plast Reconstr Surg 2008; 24(1):57-58.
Fezza JP. Nonsurgical treatment of cicatricial ectropion with hyaluronic acid filler. Plast Reconstr Surg 2008; 121(3): 1009-1014.
eyelid: Our experience Plast Reconstr Surg 121: 1206, 2008. 18- Bosniak SL, Zilkha MC, ed. Ectropion: Smith’s Ophthal- mic Plastic and Reconstructive Surgery, St. Louis: Mosby Year Book Inc; 1998:290-307
Smith B, Cherubini T. D. Modifications of the Kuhnt- Symanowski ectropion repair. In: Smith, Byron, Cherubini, Thomas D, ed. Oculoplastic Surgery: A Compendium of Principles and Techniques. St. Louis: C. V. Mosby Co; 1970: 92-94.