Adhesion after Y-split procedure can affect its mechanism for treating overshoots in Duane’s syndrome
Purpose To investigate the extent of adhesion and changes in the Y configuration after the Y-split procedure, compared with the posterior fixation suture. Methods Twelve New Zealand white rabbits were included in the study. The 10-mm Y-split procedure was performed in the superior rectus muscle (SR)...
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| Veröffentlicht in: | Graefe's archive for clinical and experimental ophthalmology 2019-02, Vol.257 (2), p.391-395 |
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| creator | Choi, Young Jang, Sungmin Choi, Soo Youn Kim, Seung-Hyun Suh, Young-Woo |
| description | Purpose
To investigate the extent of adhesion and changes in the Y configuration after the Y-split procedure, compared with the posterior fixation suture.
Methods
Twelve New Zealand white rabbits were included in the study. The 10-mm Y-split procedure was performed in the superior rectus muscle (SR) of one eye, and the 10-mm posterior fixation suture was made in the SR of the other eye. Six weeks after surgery, the Y arm lengths and lengths of adherence to the sclera were measured. If the adhesion involved the whole Y arm, the distance between the original SR insertion and most proximal part of the adhered SR was measured. In the eyes with posterior fixation suture, the distance between the SR insertion and most proximal part of the adhered SR was evaluated.
Results
The average nasal and temporal Y arm lengths were 6.37 ± 0.65 and 6.54 ± 0.63 mm, respectively, a significant decrease from those measured immediately after surgery (
P
= 0.002 and 0.002, respectively). Adhesions involved the entire Y arms in 11 of 12 SRs (91.7%), with an average adhesion length of 7.01 ± 1.04 mm. In SRs with posterior fixation sutures, the average adhesion was 9.18 ± 0.62 mm from the insertion, which was only 2.17 mm posterior to proximal portion of adhesion in Y-split SR (
P
|
| doi_str_mv | 10.1007/s00417-018-4181-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2127949619</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2127949619</sourcerecordid><originalsourceid>FETCH-LOGICAL-c324t-57959381d482591988bbf271661af36ae26e241f1ce2af02ab20190220ca8cbd3</originalsourceid><addsrcrecordid>eNp1kUtqHDEQhoWJscdODuBNEGSTTceqUj-kpfEjDhiyicFeCbW6NNNmujWRug3e5Rq5Xk5iTcZOIJBVQdVXfz1-xk5AfAIhmtMkRAlNIUAVJSgo1B5bQCmrohF494YtRIM5KfHukB2l9CAyLis4YIdSSIVSqgVbnnUrSn0YufUTRX5fpM26n_gmBkfdHIk7u615chPvp8QHcis79mngPkQ-RbJTPy55eKSYViFkoh_5xWxH-vXjZ-LpaexiGOgt2_d2nejdSzxmt1eX386vi5uvn7-cn90UTmI5FVWjKy0VdKXCSoNWqm09NlDXYL2sLWFNWIIHR2i9QNuiAC0QhbPKtZ08Zh93uvmA7zOlyQx9crRe54XCnAwCNrrUNeiMfvgHfQhzHPN2v6lKaY1NpmBHuRhSiuTNJvaDjU8GhNm6YHYumOyC2bpgVO55_6I8twN1fzpe354B3AEpl8Ylxb-j_6_6DOB1kuk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2127589927</pqid></control><display><type>article</type><title>Adhesion after Y-split procedure can affect its mechanism for treating overshoots in Duane’s syndrome</title><source>SpringerLink Journals - AutoHoldings</source><creator>Choi, Young ; Jang, Sungmin ; Choi, Soo Youn ; Kim, Seung-Hyun ; Suh, Young-Woo</creator><creatorcontrib>Choi, Young ; Jang, Sungmin ; Choi, Soo Youn ; Kim, Seung-Hyun ; Suh, Young-Woo</creatorcontrib><description>Purpose
To investigate the extent of adhesion and changes in the Y configuration after the Y-split procedure, compared with the posterior fixation suture.
Methods
Twelve New Zealand white rabbits were included in the study. The 10-mm Y-split procedure was performed in the superior rectus muscle (SR) of one eye, and the 10-mm posterior fixation suture was made in the SR of the other eye. Six weeks after surgery, the Y arm lengths and lengths of adherence to the sclera were measured. If the adhesion involved the whole Y arm, the distance between the original SR insertion and most proximal part of the adhered SR was measured. In the eyes with posterior fixation suture, the distance between the SR insertion and most proximal part of the adhered SR was evaluated.
Results
The average nasal and temporal Y arm lengths were 6.37 ± 0.65 and 6.54 ± 0.63 mm, respectively, a significant decrease from those measured immediately after surgery (
P
= 0.002 and 0.002, respectively). Adhesions involved the entire Y arms in 11 of 12 SRs (91.7%), with an average adhesion length of 7.01 ± 1.04 mm. In SRs with posterior fixation sutures, the average adhesion was 9.18 ± 0.62 mm from the insertion, which was only 2.17 mm posterior to proximal portion of adhesion in Y-split SR (
P
< 0.001).
Conclusions
Healing process reduces the Y arm length. Adhesion may involve the entire Y arm and could weaken or alter the therapeutic mechanism after the Y-split procedure.</description><identifier>ISSN: 0721-832X</identifier><identifier>EISSN: 1435-702X</identifier><identifier>DOI: 10.1007/s00417-018-4181-8</identifier><identifier>PMID: 30382338</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adhesion ; Medicine ; Medicine & Public Health ; Neurophthalmology ; Ophthalmology ; Rectus muscle ; Surgery ; Sutures</subject><ispartof>Graefe's archive for clinical and experimental ophthalmology, 2019-02, Vol.257 (2), p.391-395</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2018</rights><rights>Graefe's Archive for Clinical and Experimental Ophthalmology is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c324t-57959381d482591988bbf271661af36ae26e241f1ce2af02ab20190220ca8cbd3</cites><orcidid>0000-0003-4857-206X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00417-018-4181-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00417-018-4181-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30382338$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Choi, Young</creatorcontrib><creatorcontrib>Jang, Sungmin</creatorcontrib><creatorcontrib>Choi, Soo Youn</creatorcontrib><creatorcontrib>Kim, Seung-Hyun</creatorcontrib><creatorcontrib>Suh, Young-Woo</creatorcontrib><title>Adhesion after Y-split procedure can affect its mechanism for treating overshoots in Duane’s syndrome</title><title>Graefe's archive for clinical and experimental ophthalmology</title><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><description>Purpose
To investigate the extent of adhesion and changes in the Y configuration after the Y-split procedure, compared with the posterior fixation suture.
Methods
Twelve New Zealand white rabbits were included in the study. The 10-mm Y-split procedure was performed in the superior rectus muscle (SR) of one eye, and the 10-mm posterior fixation suture was made in the SR of the other eye. Six weeks after surgery, the Y arm lengths and lengths of adherence to the sclera were measured. If the adhesion involved the whole Y arm, the distance between the original SR insertion and most proximal part of the adhered SR was measured. In the eyes with posterior fixation suture, the distance between the SR insertion and most proximal part of the adhered SR was evaluated.
Results
The average nasal and temporal Y arm lengths were 6.37 ± 0.65 and 6.54 ± 0.63 mm, respectively, a significant decrease from those measured immediately after surgery (
P
= 0.002 and 0.002, respectively). Adhesions involved the entire Y arms in 11 of 12 SRs (91.7%), with an average adhesion length of 7.01 ± 1.04 mm. In SRs with posterior fixation sutures, the average adhesion was 9.18 ± 0.62 mm from the insertion, which was only 2.17 mm posterior to proximal portion of adhesion in Y-split SR (
P
< 0.001).
Conclusions
Healing process reduces the Y arm length. Adhesion may involve the entire Y arm and could weaken or alter the therapeutic mechanism after the Y-split procedure.</description><subject>Adhesion</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurophthalmology</subject><subject>Ophthalmology</subject><subject>Rectus muscle</subject><subject>Surgery</subject><subject>Sutures</subject><issn>0721-832X</issn><issn>1435-702X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kUtqHDEQhoWJscdODuBNEGSTTceqUj-kpfEjDhiyicFeCbW6NNNmujWRug3e5Rq5Xk5iTcZOIJBVQdVXfz1-xk5AfAIhmtMkRAlNIUAVJSgo1B5bQCmrohF494YtRIM5KfHukB2l9CAyLis4YIdSSIVSqgVbnnUrSn0YufUTRX5fpM26n_gmBkfdHIk7u615chPvp8QHcis79mngPkQ-RbJTPy55eKSYViFkoh_5xWxH-vXjZ-LpaexiGOgt2_d2nejdSzxmt1eX386vi5uvn7-cn90UTmI5FVWjKy0VdKXCSoNWqm09NlDXYL2sLWFNWIIHR2i9QNuiAC0QhbPKtZ08Zh93uvmA7zOlyQx9crRe54XCnAwCNrrUNeiMfvgHfQhzHPN2v6lKaY1NpmBHuRhSiuTNJvaDjU8GhNm6YHYumOyC2bpgVO55_6I8twN1fzpe354B3AEpl8Ylxb-j_6_6DOB1kuk</recordid><startdate>20190201</startdate><enddate>20190201</enddate><creator>Choi, Young</creator><creator>Jang, Sungmin</creator><creator>Choi, Soo Youn</creator><creator>Kim, Seung-Hyun</creator><creator>Suh, Young-Woo</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4857-206X</orcidid></search><sort><creationdate>20190201</creationdate><title>Adhesion after Y-split procedure can affect its mechanism for treating overshoots in Duane’s syndrome</title><author>Choi, Young ; Jang, Sungmin ; Choi, Soo Youn ; Kim, Seung-Hyun ; Suh, Young-Woo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c324t-57959381d482591988bbf271661af36ae26e241f1ce2af02ab20190220ca8cbd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adhesion</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurophthalmology</topic><topic>Ophthalmology</topic><topic>Rectus muscle</topic><topic>Surgery</topic><topic>Sutures</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Choi, Young</creatorcontrib><creatorcontrib>Jang, Sungmin</creatorcontrib><creatorcontrib>Choi, Soo Youn</creatorcontrib><creatorcontrib>Kim, Seung-Hyun</creatorcontrib><creatorcontrib>Suh, Young-Woo</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Graefe's archive for clinical and experimental ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Choi, Young</au><au>Jang, Sungmin</au><au>Choi, Soo Youn</au><au>Kim, Seung-Hyun</au><au>Suh, Young-Woo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adhesion after Y-split procedure can affect its mechanism for treating overshoots in Duane’s syndrome</atitle><jtitle>Graefe's archive for clinical and experimental ophthalmology</jtitle><stitle>Graefes Arch Clin Exp Ophthalmol</stitle><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><date>2019-02-01</date><risdate>2019</risdate><volume>257</volume><issue>2</issue><spage>391</spage><epage>395</epage><pages>391-395</pages><issn>0721-832X</issn><eissn>1435-702X</eissn><abstract>Purpose
To investigate the extent of adhesion and changes in the Y configuration after the Y-split procedure, compared with the posterior fixation suture.
Methods
Twelve New Zealand white rabbits were included in the study. The 10-mm Y-split procedure was performed in the superior rectus muscle (SR) of one eye, and the 10-mm posterior fixation suture was made in the SR of the other eye. Six weeks after surgery, the Y arm lengths and lengths of adherence to the sclera were measured. If the adhesion involved the whole Y arm, the distance between the original SR insertion and most proximal part of the adhered SR was measured. In the eyes with posterior fixation suture, the distance between the SR insertion and most proximal part of the adhered SR was evaluated.
Results
The average nasal and temporal Y arm lengths were 6.37 ± 0.65 and 6.54 ± 0.63 mm, respectively, a significant decrease from those measured immediately after surgery (
P
= 0.002 and 0.002, respectively). Adhesions involved the entire Y arms in 11 of 12 SRs (91.7%), with an average adhesion length of 7.01 ± 1.04 mm. In SRs with posterior fixation sutures, the average adhesion was 9.18 ± 0.62 mm from the insertion, which was only 2.17 mm posterior to proximal portion of adhesion in Y-split SR (
P
< 0.001).
Conclusions
Healing process reduces the Y arm length. Adhesion may involve the entire Y arm and could weaken or alter the therapeutic mechanism after the Y-split procedure.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30382338</pmid><doi>10.1007/s00417-018-4181-8</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0003-4857-206X</orcidid></addata></record> |
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| subjects | Adhesion Medicine Medicine & Public Health Neurophthalmology Ophthalmology Rectus muscle Surgery Sutures |
| title | Adhesion after Y-split procedure can affect its mechanism for treating overshoots in Duane’s syndrome |
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