PURPOSE: To describe the use of a lid crease incision for upper eyelid @entity717 in @entity4548 combining internal traction on the anterior lamella, tarsotomy, and tarsal overlap without external sutures. METHODS: Surgical description: The main steps of the procedure consisted of exposure of the entire tarsal plate up to the eyelashes followed by tarsotomy through the conjunctiva. A double-armed 6.0 polyglactin suture was then passed through the distal tarsal fragment to the marginal section of the orbicularis oculi muscle. As the sutures were tied, the distal tarsus advanced over the marginal section, and traction was exerted on the marginal strip of the orbicularis muscle. There were no bolsters or external knots. The pretarsal skin-muscle flap was closed with a 6.0 plain gut suture. RESULTS: We used this procedure at a tertiary hospital in Saudi Arabia from 2013 to 2014. Sixty upper lids of 40 @entity1 (23 @entity1 and 17 @entity1 ) were operated on, with an age range of 44-99 years [mean    standard deviation (SD) = 70.9    13.01 years]. Bilateral surgery was performed on 21 @entity1 . Follow-up ranged from 1 to 12 months (mean 3.0    2.71 months). Forty percent of the @entity1 (24 lids) had more than 3 months' follow-up. The postoperative lid margin position was good in all cases. @entity5055 (two lashes) was observed in only one @entity1 with unilateral entropion on the medial aspect of the operated lid. CONCLUSIONS: The upper lid margin can be effectively rotated through a lid crease incision with internal sutures. The technique combines the main mechanisms of the Wies and Trabut approaches and avoids the use of bolsters or external sutures, which require a second consultation to be removed. Some other lid problems, such as ptosis, retraction, or dermatochalasis, can be concomitantly addressed during the procedure.

Upper lid crease approach for @entity717 in trachomatous XXXX without external sutures.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient', 'men'] @entity717 :: ('MESH:D009069', 'Disease') :: ['margin rotation'] @entity4548 :: ('MESH:D004774', 'Disease') :: ['cicatricial entropion'] @entity5055 :: ('MESH:D058457', 'Disease') :: ['Trichiasis']
@entity4548 :: (MESH:D004774,Disease) :: ['cicatricial entropion']
