Barbed suture suspension technique for prevention of lower eyelid ectropion after Mohs micrographic surgery.

Ophthalmic Plast Reconstr Surg

Department of Dermatology, College of Medicine, Korea University, Seoul, Korea.

Published: August 2011

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Article Abstract

Mohs micrographic surgery of the lower eyelid poses a risk of ectropion. Even though the lower eyelid is a very frequent location for basal cell carcinoma, prevention techniques for ectropion after Mohs micrographic surgery have rarely been introduced. After Mohs micrographic surgery of the lower eyelid, the authors applied a barbed suture suspension technique for the prevention of lower eyelid ectropion. Following primary wound closure, barbed sutures were prepared by cutting one side of a 4-0 Prolene suture and applied around the lower eyelid. Sutures were maintained for 7 days and then removed. Evaluation 10 weeks after surgery found that ectropion had been minimized or prevented entirely.

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http://dx.doi.org/10.1097/IOP.0b013e3181eea51dDOI Listing

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