Abstract：
BACKGROUND: High-eyelid fold is a common complication of upper eyelid surgery. This study proposed a novel technique for correcting high-eyelid fold in Asian patients with little eyelid skin and thick orbital fascia to improve cosmetic outcomes and patient satisfaction.
METHODS: We retrospectively analysed the clinical data of 38 patients with high-eyelid fold repaired at the Plastic Surgery Hospital, Chinese Academy of Medical Sciences, from July 2017 to April 2022. All patients were treated using this method of preserving the high-eyelid fold and reconstructing the subcutaneous orbital fascia. Postoperative outcomes were reviewed and analysed using objective measures and subjective surgeon and patient evaluations.
RESULTS: Thirty-eight patients (71 eyes) were included. Postoperative follow-up was for 6-25 months. At 6 months postoperatively, the mean anatomic crease height decreased from 10.45 mm to 6.22 mm, mean pretarsal show decreased from 3.20 mm to 1.61 mm, and mean margin reflex distance in 1 of the 31 patients with ptosis increased from 2.93 mm to 3.87 mm (P < 0.001). The compliance rate between the surgeon\'s assessment and patient satisfaction was 89.5%, with 31 cases considered good by both the surgeon and patient and one case considered poor by both (undercorrected ptosis), though a satisfactory result was achieved after reoperation. Neither recurrence of the original crease nor serious complications were reported.
CONCLUSIONS: By preserving high-eyelid folds and reconstructing the subcutaneous orbital fascia, unnaturally high- and deep-eyelid folds were converted to lower, nondepressed folds.
METHODS: We retrospectively analysed the clinical data of 38 patients with high-eyelid fold repaired at the Plastic Surgery Hospital, Chinese Academy of Medical Sciences, from July 2017 to April 2022. All patients were treated using this method of preserving the high-eyelid fold and reconstructing the subcutaneous orbital fascia. Postoperative outcomes were reviewed and analysed using objective measures and subjective surgeon and patient evaluations.
RESULTS: Thirty-eight patients (71 eyes) were included. Postoperative follow-up was for 6-25 months. At 6 months postoperatively, the mean anatomic crease height decreased from 10.45 mm to 6.22 mm, mean pretarsal show decreased from 3.20 mm to 1.61 mm, and mean margin reflex distance in 1 of the 31 patients with ptosis increased from 2.93 mm to 3.87 mm (P < 0.001). The compliance rate between the surgeon\'s assessment and patient satisfaction was 89.5%, with 31 cases considered good by both the surgeon and patient and one case considered poor by both (undercorrected ptosis), though a satisfactory result was achieved after reoperation. Neither recurrence of the original crease nor serious complications were reported.
CONCLUSIONS: By preserving high-eyelid folds and reconstructing the subcutaneous orbital fascia, unnaturally high- and deep-eyelid folds were converted to lower, nondepressed folds.
摘要：
背景：上眼睑褶皱是上眼睑手术的常见并发症。这项研究提出了一种新的技术，用于矫正亚洲患者的眼睑皮肤少和眶筋膜厚的高眼睑褶皱，以改善美容效果和患者满意度。
方法：我们回顾性分析整形外科医院收治的38例高睑皮修复患者的临床资料，中国医学科学院,从2017年7月到2022年4月。所有患者均采用这种保留高眼睑褶皱并重建眶下筋膜的方法进行治疗。使用客观措施以及主观外科医生和患者评估对术后结果进行审查和分析。
结果：纳入38例患者（71只眼）。术后随访6～25个月。术后6个月，平均解剖折痕高度从10.45毫米下降到6.22毫米，平均甲前显示从3.20毫米下降到1.61毫米，31例眼睑下垂患者中，有1例的平均边缘反射距离从2.93mm增加到3.87mm（P<0.001）。外科医生的评估和患者满意度之间的达标率为89.5%,31例外科医生和患者均认为良好，1例患者均认为不良（上下垂矫正不足），虽然再次手术后取得了满意的效果。未报告原始折痕复发或严重并发症。
结论：通过保留高眼睑褶皱和重建眶下筋膜，不自然的高和深眼睑褶皱被转换为较低，非凹陷的褶皱。
方法：我们回顾性分析整形外科医院收治的38例高睑皮修复患者的临床资料，中国医学科学院,从2017年7月到2022年4月。所有患者均采用这种保留高眼睑褶皱并重建眶下筋膜的方法进行治疗。使用客观措施以及主观外科医生和患者评估对术后结果进行审查和分析。
结果：纳入38例患者（71只眼）。术后随访6～25个月。术后6个月，平均解剖折痕高度从10.45毫米下降到6.22毫米，平均甲前显示从3.20毫米下降到1.61毫米，31例眼睑下垂患者中，有1例的平均边缘反射距离从2.93mm增加到3.87mm（P<0.001）。外科医生的评估和患者满意度之间的达标率为89.5%,31例外科医生和患者均认为良好，1例患者均认为不良（上下垂矫正不足），虽然再次手术后取得了满意的效果。未报告原始折痕复发或严重并发症。
结论：通过保留高眼睑褶皱和重建眶下筋膜，不自然的高和深眼睑褶皱被转换为较低，非凹陷的褶皱。
