Jingni Li , Ting Xie , Xintong Jiang , Minli Yang , Beilei Wang , Hengxin Liu
{"title":"经结膜下睑成形术联合眶脂肪复位与脂肪移植术治疗泪槽畸形:一项前瞻性、对比性和随机研究。","authors":"Jingni Li , Ting Xie , Xintong Jiang , Minli Yang , Beilei Wang , Hengxin Liu","doi":"10.1016/j.jormas.2025.102320","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div><span>Fat prolapse and tear trough deformity, indicative of lower eyelid aging, are increasingly prevalent in younger patients. Transconjunctival lower </span>blepharoplasty (TCLB) is a suitable treatment for this demographic; however, traditional techniques have limitations that affect their simplicity and effectiveness.</div></div><div><h3>Objective</h3><div>We conducted a prospective, randomized controlled trial to systematically compare the modified TCLB technique with traditional TCLB in two groups, with the aim of evaluating its therapeutic efficacy through direct methodological comparison.</div></div><div><h3>Method</h3><div>This study, conducted from August 2020 to August 2022, included 40 patients with lower eyelid fat prolapse and tear trough deformity, randomly assigned to either the experimental or control group. The experimental group underwent a modified TCLB technique, while the control group received traditional TCLB combined with orbital fat release. Postoperative outcomes were evaluated by comparing baseline data, surgical duration, changes in the vertical distance from the lowest point of the tear trough to the pupil, Barton tear trough classification, and the Global Aesthetic Improvement Scale(GAIS) between the two groups.</div></div><div><h3>Result</h3><div>Preoperative baseline data showed no significant differences between the two groups. However, the experimental group had a significantly shorter surgical duration. Post-treatment comparisons revealed superior maintenance of surgical outcomes in the experimental group compared to the control group.</div></div><div><h3>Conclusion</h3><div>This prospective, comparative, and randomized study demonstrates the favorable therapeutic effects of the modified TCLB technique.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 4","pages":"Article 102320"},"PeriodicalIF":2.0000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Transconjunctival lower blepharoplasty with orbital fat repositioning versus fat grafting for tear trough deformity: A prospective, comparative and randomized study\",\"authors\":\"Jingni Li , Ting Xie , Xintong Jiang , Minli Yang , Beilei Wang , Hengxin Liu\",\"doi\":\"10.1016/j.jormas.2025.102320\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div><span>Fat prolapse and tear trough deformity, indicative of lower eyelid aging, are increasingly prevalent in younger patients. Transconjunctival lower </span>blepharoplasty (TCLB) is a suitable treatment for this demographic; however, traditional techniques have limitations that affect their simplicity and effectiveness.</div></div><div><h3>Objective</h3><div>We conducted a prospective, randomized controlled trial to systematically compare the modified TCLB technique with traditional TCLB in two groups, with the aim of evaluating its therapeutic efficacy through direct methodological comparison.</div></div><div><h3>Method</h3><div>This study, conducted from August 2020 to August 2022, included 40 patients with lower eyelid fat prolapse and tear trough deformity, randomly assigned to either the experimental or control group. The experimental group underwent a modified TCLB technique, while the control group received traditional TCLB combined with orbital fat release. Postoperative outcomes were evaluated by comparing baseline data, surgical duration, changes in the vertical distance from the lowest point of the tear trough to the pupil, Barton tear trough classification, and the Global Aesthetic Improvement Scale(GAIS) between the two groups.</div></div><div><h3>Result</h3><div>Preoperative baseline data showed no significant differences between the two groups. However, the experimental group had a significantly shorter surgical duration. Post-treatment comparisons revealed superior maintenance of surgical outcomes in the experimental group compared to the control group.</div></div><div><h3>Conclusion</h3><div>This prospective, comparative, and randomized study demonstrates the favorable therapeutic effects of the modified TCLB technique.</div></div>\",\"PeriodicalId\":55993,\"journal\":{\"name\":\"Journal of Stomatology Oral and Maxillofacial Surgery\",\"volume\":\"126 4\",\"pages\":\"Article 102320\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Stomatology Oral and Maxillofacial Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2468785525001065\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Stomatology Oral and Maxillofacial Surgery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2468785525001065","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Transconjunctival lower blepharoplasty with orbital fat repositioning versus fat grafting for tear trough deformity: A prospective, comparative and randomized study
Background
Fat prolapse and tear trough deformity, indicative of lower eyelid aging, are increasingly prevalent in younger patients. Transconjunctival lower blepharoplasty (TCLB) is a suitable treatment for this demographic; however, traditional techniques have limitations that affect their simplicity and effectiveness.
Objective
We conducted a prospective, randomized controlled trial to systematically compare the modified TCLB technique with traditional TCLB in two groups, with the aim of evaluating its therapeutic efficacy through direct methodological comparison.
Method
This study, conducted from August 2020 to August 2022, included 40 patients with lower eyelid fat prolapse and tear trough deformity, randomly assigned to either the experimental or control group. The experimental group underwent a modified TCLB technique, while the control group received traditional TCLB combined with orbital fat release. Postoperative outcomes were evaluated by comparing baseline data, surgical duration, changes in the vertical distance from the lowest point of the tear trough to the pupil, Barton tear trough classification, and the Global Aesthetic Improvement Scale(GAIS) between the two groups.
Result
Preoperative baseline data showed no significant differences between the two groups. However, the experimental group had a significantly shorter surgical duration. Post-treatment comparisons revealed superior maintenance of surgical outcomes in the experimental group compared to the control group.
Conclusion
This prospective, comparative, and randomized study demonstrates the favorable therapeutic effects of the modified TCLB technique.