Abstract：
OBJECTIVE: To evaluate the surgical outcomes of a modified technique for treating congenital cilial entropion in children, which involves reducing tension step by step in the epicanthus and lower eyelid incision.
METHODS: The observational group consisted of 153 pediatric patients (81 males and 72 females) who were treated using the modified technique, whereas the control group included 124 patients (68 males and 56 females) who were treated using the rotating suture surgery. All the participants were bilateral. Surgical outcomes were classified as good, fair, or poor, and the recurrence rate, scar condition, inferior eyelid position, and patient satisfaction were also assessed.
RESULTS: The mean follow-up period was 9.13 ± 3.50 months (range: 3-14 months) for the observational group and 6.93 ± 4.51 months (range: 3-14 months) for the control group. In the observational group, surgical success with \"good\" outcomes was achieved in 300 eyes (98.04%), compared to 224 eyes (90.32%) in the control group. No recurrence occurred in the observational group, whereas the recurrence rate in the control group was 4.43%. Postoperative scar formation was mild in the observational group. The average scar score was 1.27 ± 0.96 in the observational group and 2.70 ± 0.99 in the control group, with a statistically significant difference (P < 0.001). Neither overcorrection nor postoperative ectropion was observed in both groups.
CONCLUSIONS: The modified technique effectively corrected medial entropion and trichiasis in the lower eyelid, resulting in stable postoperative outcomes, mild scar formation, quick recovery, flexible eyelid motility, and stable ocular surface. Therefore, it can be widely applied to children with congenital entropion and trichiasis.
METHODS: The observational group consisted of 153 pediatric patients (81 males and 72 females) who were treated using the modified technique, whereas the control group included 124 patients (68 males and 56 females) who were treated using the rotating suture surgery. All the participants were bilateral. Surgical outcomes were classified as good, fair, or poor, and the recurrence rate, scar condition, inferior eyelid position, and patient satisfaction were also assessed.
RESULTS: The mean follow-up period was 9.13 ± 3.50 months (range: 3-14 months) for the observational group and 6.93 ± 4.51 months (range: 3-14 months) for the control group. In the observational group, surgical success with \"good\" outcomes was achieved in 300 eyes (98.04%), compared to 224 eyes (90.32%) in the control group. No recurrence occurred in the observational group, whereas the recurrence rate in the control group was 4.43%. Postoperative scar formation was mild in the observational group. The average scar score was 1.27 ± 0.96 in the observational group and 2.70 ± 0.99 in the control group, with a statistically significant difference (P < 0.001). Neither overcorrection nor postoperative ectropion was observed in both groups.
CONCLUSIONS: The modified technique effectively corrected medial entropion and trichiasis in the lower eyelid, resulting in stable postoperative outcomes, mild scar formation, quick recovery, flexible eyelid motility, and stable ocular surface. Therefore, it can be widely applied to children with congenital entropion and trichiasis.
摘要：
目的：评估改良技术治疗儿童先天性脑内翻的手术效果，这包括逐步减少内板和下眼睑切口的张力。
方法：观察组由153名儿科患者（男性81名，女性72名）组成，他们使用改良技术进行治疗。而对照组包括124例患者（68例男性和56例女性），他们使用旋转缝合手术进行治疗。所有参与者都是双边的。手术结果被归类为良好，公平,或贫穷，和复发率，疤痕情况,下眼睑位置，并对患者满意度进行了评估.
结果：观察组平均随访时间为9.13±3.50个月(3~14个月)，对照组平均随访时间为6.93±4.51个月(3~14个月)。在观察组中，300只眼睛获得了“良好”的手术成功（98.04%），对照组为224只眼(90.32%)。观察组无复发,对照组复发率为4.43%。观察组术后瘢痕形成轻微。观察组平均瘢痕评分为1.27±0.96,对照组平均瘢痕评分为2.70±0.99,差异有统计学意义(P<0.001)。两组均未观察到过度矫正或术后外翻。
结论：改良技术可有效矫正下睑内侧内翻和倒车灯，导致稳定的术后结果，轻度瘢痕形成,快速恢复,灵活的眼睑运动，和稳定的眼表。因此,可广泛应用于儿童先天性内翻倒车灯。
方法：观察组由153名儿科患者（男性81名，女性72名）组成，他们使用改良技术进行治疗。而对照组包括124例患者（68例男性和56例女性），他们使用旋转缝合手术进行治疗。所有参与者都是双边的。手术结果被归类为良好，公平,或贫穷，和复发率，疤痕情况,下眼睑位置，并对患者满意度进行了评估.
结果：观察组平均随访时间为9.13±3.50个月(3~14个月)，对照组平均随访时间为6.93±4.51个月(3~14个月)。在观察组中，300只眼睛获得了“良好”的手术成功（98.04%），对照组为224只眼(90.32%)。观察组无复发,对照组复发率为4.43%。观察组术后瘢痕形成轻微。观察组平均瘢痕评分为1.27±0.96,对照组平均瘢痕评分为2.70±0.99,差异有统计学意义(P<0.001)。两组均未观察到过度矫正或术后外翻。
结论：改良技术可有效矫正下睑内侧内翻和倒车灯，导致稳定的术后结果，轻度瘢痕形成,快速恢复,灵活的眼睑运动，和稳定的眼表。因此,可广泛应用于儿童先天性内翻倒车灯。
