Published online Dec 26, 2020. doi: 10.12998/wjcc.v8.i24.6274
Peer-review started: September 27, 2020
First decision: October 27, 2020
Revised: November 4, 2020
Accepted: November 14, 2020
Article in press: November 14, 2020
Published online: December 26, 2020
Processing time: 83 Days and 12.8 Hours
Previous literature rarely reported the reasons for the failure and recurrence of the correction surgery of epiblepharon. As far as we know, this study is the first to analyze the causes of failure and recurrence of epiblepharon in children and to summarize the operation skills of reoperation.
Corrective surgery of epiblepharon in children often fails or there is recurrence. Reoperation is necessary due to obvious irritation symptoms and corneal injury. What are the causes? What should we pay attention to in reoperation?
To explore the causes of failure and recurrence after epiblepharon correction in children, and to observe the therapeutic effect after reoperation.
Twenty-two children (40 eyes) with epiblepharon were treated due to correction failure and recurrence. During reoperation, we accurately removed redundant epiblepharon and orbicularis muscle. Rotational suture technique and lid margin splitting were used.
After reoperation, all the patients were corrected. Photophobia, rubbing the eye, winking, and tearing disappeared. The corneal injuries were repaired. Follow-up observation for 6 mo showed no recurrence of epiblepharon.
The type of suture method, the failure to remove accurately redundant skin and orbicularis muscle, the lack of cilia rotational suture use, and excessive reverse growth of eyelashes are the main causes of failure and recurrence after epiblepharon correction in children.
In the future, more cases of recurrence of lower eyelid epiblepharon in children will be collected and will be followed up for a longer time after reoperation.