What suture pattern is preferred for repairing eyelids?

The figure of 8 suture pattern is preferred for repairing eyelids due to its unique design that effectively approximates the edges of the eyelid while providing tension relief and minimizing tissue trauma. This pattern is particularly advantageous in eyelid repairs as it reduces the risk of dehiscence, which is important in such delicate structures.

The figure of 8 creates a secure hold across the eyelid margins, thereby ensuring that the incision line is well aligned, which promotes optimal healing and cosmetic outcomes. It also allows for adequate blood supply to the eyelid margins, which is crucial for healing in this area. This pattern is designed to distribute tension evenly across the eyelid tissues, minimizing the risk of ischemia or necrosis associated with excessive tension.

In contrast, continuous suture patterns, although providing quick closure, may not offer the same level of security and tissue apposition necessary for the eyelid's unique anatomy and function. Simple interrupted patterns provide individual fixation points but may not support the eyelid as effectively as the figure of 8 for maintaining proper closure, particularly in areas under tension. Horizontal mattress sutures can provide tension relief but may not be ideal for the delicate eyelid margins that require careful alignment.