Department of Dermatology, Henry Ford Health System, Detroit, Michigan, USA.
Dermatol Surg. 2011 Jan;37(1):19-30. doi: 10.1111/j.1524-4725.2010.01834.x. Epub 2010 Dec 28.
Although upper eyelid blepharoplasty is a common procedure, subtleties in surgical technique can affect cosmetic outcomes. Suture materials commonly used include polypropylene, monofilament nylon, fast-absorbing gut, and ethylcyanoacrylate (ECA) tissue adhesive.
To assess upper lid blepharoplasty scars in participants whose incision had been closed with 6-0 polypropylene sutures, 6-0 fast-absorbing gut sutures, or ECA.
A randomized, split-eyelid, single-blind, prospective study of the short- (1 month) and intermediate-term (3 months) efficacy of polypropylene, fast-absorbing gut, and ECA on 36 consecutive upper lid blepharoplasties. Participants and a blinded physician evaluator evaluated cosmetic outcome 1 and 3 months after the procedure.
Three subgroups tested were ECA versus fast-absorbing gut, ECA versus polypropylene, and fast-absorbing gut versus polypropylene. At 1 month, ECA was superior to fast-absorbing gut (p=.03) and had a marginally better outcome than polypropylene (p=.25), and polypropylene had an equivalent outcome to fast-absorbing gut (p=.46). At 3-month follow-up, ECA remained superior to fast-absorbing gut (p=.03).
Although sutured epidermal closure and tissue adhesive are highly efficacious for upper eyelid blepharoplasty, physicians and participants felt that cosmesis with ECA was superior to that with fast-absorbing gut.
尽管上眼睑成形术是一种常见的手术，但手术技术的细微差别会影响美容效果。常用的缝合材料包括聚丙烯、单丝尼龙、快吸收肠线和乙基氰基丙烯酸酯（ECA）组织粘合剂。
评估用 6-0 聚丙烯缝线、6-0 快吸收肠线或 ECA 缝合切口的参与者的上眼睑成形术疤痕。
一项随机、单盲、前瞻性的研究，对 36 例连续的上眼睑成形术进行了 1 个月和 3 个月的短期（1 个月）和中期（3 个月）评估，比较了聚丙烯、快吸收肠线和 ECA 的效果。参与者和一位盲法医师评估者在术后 1 个月和 3 个月评估了美容效果。
测试了三个亚组：ECA 与快吸收肠线、ECA 与聚丙烯、快吸收肠线与聚丙烯。在 1 个月时，ECA 优于快吸收肠线（p=.03），与聚丙烯相比有更好的结果（p=.25），而聚丙烯与快吸收肠线的结果相当（p=.46）。在 3 个月的随访中，ECA 仍然优于快吸收肠线（p=.03）。
尽管缝线闭合表皮和组织粘合剂对上眼睑成形术非常有效，但医生和参与者认为 ECA 的美容效果优于快吸收肠线。
