A modified swan incision combined with lateral rectus suspension for exotropia: a retrospective cohort study demonstrating shorter operative time and faster recovery.
Jiao Liu, Rongjie Guo, Wenhao Shen, Jiaxuan Jiang, Yiran Chu, Changyu Wu, Kai Hu
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引用次数: 0
Abstract
Background: A modified Swan incision (MSI) combined with lateral rectus muscle suspension surgery represents an innovative strabismus surgical technique developed by our research team. Compared to the conventional Swan incision, the MSI features a 50% reduction in length with more posterior placement. The suspension technique is a modified recession approach that corrects strabismus by creating a hammock-like structure to reposition the muscle at new insertion site, rather than directly suturing the muscle to the sclera. This study aims to evaluate the safety, efficacy, and potential advantages of this MSI technique for exotropia.
Methods: A retrospective cohort study was conducted on 66 patients with exotropia treated from January 2024 to December 2024. The patients were divided into two groups based on actual surgical procedures: the MSI group (33 patients, 42 eyes) and the control group (33 patients, 36 eyes). The MSI group underwent the MSI technique, while the control group underwent traditional Parks incision combined with lateral rectus recession. The surgical time, postoperative recovery, and correction outcomes were compared between the two groups.
Results: The MSI group showed significantly shorter surgical time (P < 0.0001) and lower redness score at 1 week postoperatively (P < 0.001), with comparable surgical success rate to control group (P > 0.9999).
Conclusion: The MSI combined with lateral rectus suspension surgery demonstrates both efficacy in ocular alignment correction and favorable safety in surgery. This technique significantly shortens surgical time, reduces tissue damage, improves postoperative recovery, making it a valuable option for widespread application.
期刊介绍：
Frontiers in Medicine publishes rigorously peer-reviewed research linking basic research to clinical practice and patient care, as well as translating scientific advances into new therapies and diagnostic tools. Led by an outstanding Editorial Board of international experts, this multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide.
In addition to papers that provide a link between basic research and clinical practice, a particular emphasis is given to studies that are directly relevant to patient care. In this spirit, the journal publishes the latest research results and medical knowledge that facilitate the translation of scientific advances into new therapies or diagnostic tools. The full listing of the Specialty Sections represented by Frontiers in Medicine is as listed below. As well as the established medical disciplines, Frontiers in Medicine is launching new sections that together will facilitate
- the use of patient-reported outcomes under real world conditions
- the exploitation of big data and the use of novel information and communication tools in the assessment of new medicines
- the scientific bases for guidelines and decisions from regulatory authorities
- access to medicinal products and medical devices worldwide
- addressing the grand health challenges around the world
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