Eye-Opening Effect Achieved by Modified Transconjunctival Lower Blepharoplasty.

IF 3 2区 医学 Q1 SURGERY
Takayuki Kubo
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引用次数: 0

Abstract

Background: Enophthalmia (abnormally sunken eyeball in the socket) and ptotic upper lid, as well as lower lid symptoms, are commonly observed in patients seeking periorbital rejuvenation.

Objectives: The aim of this study was to assess the effect of transconjunctival lower blepharoplasty (TCLB) modified by adding deframing and decompression maneuvers to the lower orbital fat compartment (LOFC) and its support structures to obtain better results in both the lower and upper lids.

Methods: Modified TCLB was performed in patients with lower eyelid symptoms. Palpebral fissure height (PFH) (the distance between the upper and lower eyelids in vertical alignment with the center of the pupil) was measured before surgery and 12 months postoperatively from 3-dimensional photographs. These data were compared to validate the postoperative eye-opening effect. The weight of the excised fat from each LOFC was also measured and compared.

Results: Forty patients (36 females and 4 males) who underwent modified TCLB were followed up 12 months postoperatively. Mean [standard deviation] preoperative PFHs were 8.41 [1.15] mm (range, 6.1-10.7 mm) for the right and 8.41 [1.12] mm (range, 5.5-10.4 mm) for the left. Postoperative PFHs were 9.26 [0.95] mm (range, 6.4-11.1 mm) for the right and 9.21 [0.94] mm (range, 6.2-11.1 mm) for the left. The improvement in postoperative eye opening was statistically significant. The total excised LOFC was 0.43 [0.24] g (range, 0-1.2 g) for the right and 0.42 [0.25] g (range, 0-1.5 g) for the left. The largest amount of fat was excised bilaterally from the lateral LOFC, and the difference was statistically significant.

Conclusions: The results after the modified TCLB clearly demonstrate increased eye-opening ability and marked resolution of observable symptoms. The anatomical dynamics of the orbit involved in this procedure are detailed through scientific data.

Level of evidence: 4 (therapeutic):

改良经结膜下眼睑成形术实现的开眼角效果
背景:眼球内陷(眼球在眼窝中异常凹陷)、上睑下垂以及下睑症状是寻求眶周年轻化的患者中常见的症状。它不仅影响功能,导致睁眼受限,而且影响美观,因此需要更先进的解决方案:传统的经结膜下睑成形术(TCLB)主要通过切除和移位多余的下眶脂肪区(LOFC)来治疗下睑症状。本研究对 TCLB 进行了改良,在 LOFC 及其支撑结构上增加了去火和减压操作,以获得更好的上下眼睑效果。改良 TCLB 后的结果清楚地表明,睁眼能力提高了,可观察到的症状明显缓解。通过科学数据详细介绍了该手术涉及的眼眶解剖动态:方法:对有下眼睑症状的患者实施改良 TCLB。方法:对有下眼睑症状的患者进行改良 TCLB 手术,术前和术后 12 个月使用三维照片测量睑裂高度(PFH)(上下眼睑与瞳孔中心垂直对齐的距离)。通过比较这些数据来验证术后的开眼角效果。此外,还测量并比较了每个 LOFC 切除脂肪的重量:40 名患者(36 名女性和 4 名男性)于 2022 年接受了改良 TCLB,术后随访 12 个月。术前右侧PFH为8.41±1.15(6.1-10.7)毫米,左侧为8.41±1.12(5.5-10.4)毫米。术后右眼睑的 PFH 为 9.26±0.95(6.4-11.1)毫米,左眼睑的 PFH 为 9.21±0.94(6.2-11.1)毫米。术后睁眼情况的改善具有统计学意义。右眼睑脂肪切除总量为 0.43±0.24 (01.2) g,左眼睑脂肪切除总量为 0.42±0.25 (0-1.5) g。双侧LOFC切除的脂肪量最大,差异具有统计学意义:结论:对 LOFC 进行去框和减压的改良 TCLB 不仅能有效改善下睑症状,还能提高大多数患者的睁眼能力,并明显改善美观。
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来源期刊
CiteScore
6.20
自引率
20.70%
发文量
309
审稿时长
6-12 weeks
期刊介绍: Aesthetic Surgery Journal is a peer-reviewed international journal focusing on scientific developments and clinical techniques in aesthetic surgery. The official publication of The Aesthetic Society, ASJ is also the official English-language journal of many major international societies of plastic, aesthetic and reconstructive surgery representing South America, Central America, Europe, Asia, and the Middle East. It is also the official journal of the British Association of Aesthetic Plastic Surgeons, the Canadian Society for Aesthetic Plastic Surgery and The Rhinoplasty Society.
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