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  • Title: Barbed suture suspension technique for prevention of lower eyelid ectropion after Mohs micrographic surgery.
    Author: Kim JH, Yi SM, Kim S, Lee KG, Kim IH.
    Journal: Ophthalmic Plast Reconstr Surg; 2011; 27(3):e79-81. PubMed ID: 20924299.
    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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