关键词: Bionic method Double eyelid plasty Efficacy comparison Incision Orbital septum

Mesh : Humans Asian People Blepharoplasty / methods Cicatrix / surgery Eyelids / surgery Fascia Postoperative Complications / surgery Retrospective Studies

来  源:   DOI:10.1007/s00266-022-03134-9

Abstract:
To observe the clinical effect between orbital septum incision and classical incision of double eyelid plasty.
We retrospectively analyzed 381 patients who underwent double eyelid blepharoplasty in the Department of Plastic and Laser Cosmetology of Hunan Provincial People\'s Hospital from January 2019 to December 2019. The patients were divided into two groups according to different surgical methods: group A (n = 146) received the classical method and group B (n = 235) received the orbital septum method. The incidence of early postoperative complications, scar depression from 6 months to 1 year after the operation, the condition of \'meat strip\' (the accumulation of soft tissue in front of the tarsal plate after double eyelid surgery, including skin, muscle, and fascia fat, results in a hypertrophic appearance of the upper eyelid) below the double eyelid line, and the symmetry of double eyelids were analyzed and evaluated.
The total number of early postoperative complications in group A was seven cases (incidence rate: approximately 4.80%), and the total number of early postoperative complications in group B was two cases (incidence rate: approximately 0.85%), with a statistically significant difference (P < 0.05). The degree of scar depression in group B was significantly lighter than that in group A from 6 months to 1 year after the operation (P < 0.05). The score of \'meat strip\' below the double eyelid line in group B was significantly lighter than that in group A (P < 0.05). The symmetry of double eyelids in group B was better than that in group A (P < 0.05) CONCLUSION: Compared to the classical double eyelid method, the orbital septum method has the advantages of reducing early postoperative complications, reducing the severity of the scar, slighting the \'meat strip,\' and improving symmetry, which results in higher postoperative satisfaction LEVEL OF EVIDENCE III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors https://www.springer.com/00266 .
摘要:
观察眶隔切口与经典切口重睑成形术的临床疗效。
回顾性分析2019年1月至2019年12月在湖南省人民医院整形激光美容科行重睑成形术的381例患者。根据手术方法的不同将患者分为两组:A组(n=146)接受经典方法,B组(n=235)接受眶隔方法。术后早期并发症的发生率,手术后6个月至1年的瘢痕凹陷,“肉条”的状况(重睑手术后,骨板前的软组织积聚,包括皮肤,肌肉,和筋膜脂肪,导致上眼睑的肥大外观)在双眼皮线以下,并对双眼皮的对称性进行分析评价。
A组术后早期并发症总数为7例(发生率约为4.80%),B组术后早期并发症总数为2例(发生率约为0.85%),差异具有统计学意义(P<0.05)。术后6个月至1年,B组瘢痕凹陷程度明显轻于A组(P<0.05)。B组重睑线以下的“肉条”评分明显轻于A组(P<0.05)。B组重睑对称性优于A组(P<0.05)。眼眶间隔法具有减少术后早期并发症的优点,减少疤痕的严重程度,轻视肉条,\'和改善对称性,这导致了更高的术后满意度水平的证据III:该杂志要求作者为每篇文章分配一定水平的证据。对于这些循证医学评级的完整描述,请参阅目录或对作者的在线说明https://www。springer.com/00266.
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