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A single‐ versus double‐layered closure technique for full‐thickness lower eyelid defects: a comparative study
Author(s) -
Verhoekx Jennifer S. N.,
Soebhag Renoe K.,
Weijtens Olga,
Bosch Willem A.,
Paridaens Dion
Publication year - 2016
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/aos.12927
Subject(s) - eyelid , medicine , surgery , notching , dehiscence , fibrous joint , canthus , materials science , metallurgy
Purpose To compare a simplified, single‐layered closure technique with a double‐layered closure technique in lower eyelid reconstruction following full‐thickness pentagonal block excision. Methods We conducted a retrospective, non‐randomized, interventional case–control study. Clinical data of consecutive patients treated with primary closure of a full‐thickness lower eyelid defect between 2011 and 2014 were analysed. In group A, the defect was closed in one layer, using non‐absorbable polypropylene sutures. In group B, the defect was closed in two layers, using absorbable polyglactin acid sutures. In both techniques, we rarely used a grey line suture to adjust the eyelid margin. We assessed notching, wound dehiscence and other complications, as reported at 2 months after surgery. Results We included 188 eyelids from 186 patients. In group A, we included 82 eyelids and in group B 106 eyelids. We noted no difference in notching (p = 0.96) whilst wound dehiscence had not occurred in either group. Subcutaneous granuloma formation had been noted in 0 cases in group A, versus 4 in group B (p = 0.08). Mild redness of the scar was seen in 2 cases in group A, versus 5 in group B (p = 0.41). A grey line suture was placed in 6 cases in group A (7.3%), versus 4 cases in group B (3.8%; p = 0.28). Conclusion Both single‐ and double‐layered closure techniques are safe and effective methods for primary closure of full‐thickness lower eyelid defects. In both techniques, a grey line suture was rarely required to adjust the eyelid margin.