Saalabian Ali A, Liebmann Paul, Deutinger Maria
Department of Plastic, Reconstructive and Aesthetic Surgery, Krankenanstalt Rudolfstiftung, Wien, Austria.
World J Plast Surg. 2017 Sep;6(3):324-331.
Due to various options for tissue resection and preoperative markings, many different reports on aesthetics and patient's satisfaction exist. To assess differences among tissue resections and risk factors, we herein analyzed satisfaction levels of patients that underwent upper blepharoplasty.
A retrospective analysis during the period from January 2006 to June 2013 was conducted by reviewing patient's electronic medical files. All patients underwent medically indicated upper blepharoplasty at our department. We classified patients relating to resected tissues; hence the categories created were skin, skin/muscle, skin/muscle/fat and skin/fat. Furthermore, an evaluation of risk factors according to the patient's number of present medical preconditions ranging from 0 (none) to 4 was performed. Data collection was conducted by reviewing patient's electronic medical files. Moreover, a questionnaire concerning patient's satisfaction was forwarded.
No significant differences in patient's satisfaction and complication rates comparing the different groups of tissue resection were noted. However, we found a significantly higher complication rate at a presence of 2 risk factors. In addition, a significantly worse scar outcome and longer recovery periods in patients with 4 risk factors were observed.
The extent of tissue resection has no statistically quantifiable effect on patient's satisfaction ratings and complications. For this reason, we believe cautious resection of muscle and fat is only indicated if pathologies are present. Moreover, patients with 2 risk factors or more shall be rigorously evaluated preoperatively to avoid complicating events.An abbreviated form of this manuscript was presented at the conjoint 52 and 45 annual meeting of the Austrian and German Society of Plastic, Aesthetic and Reconstructive Surgery, September 11-13 2014 in Munich, Germany.
由于组织切除和术前标记有多种选择，因此存在许多关于美学和患者满意度的不同报告。为了评估组织切除之间的差异和风险因素，我们在此分析了接受上睑成形术患者的满意度水平。
通过查阅患者的电子病历，对2006年1月至2013年6月期间进行回顾性分析。所有患者均在我科接受了有医学指征的上睑成形术。我们根据切除的组织对患者进行分类；因此创建的类别为皮肤、皮肤/肌肉、皮肤/肌肉/脂肪和皮肤/脂肪。此外，根据患者当前医疗前提条件的数量从0（无）到4对风险因素进行了评估。通过查阅患者的电子病历进行数据收集。此外，还发放了一份关于患者满意度的问卷。
比较不同组织切除组时，患者满意度和并发症发生率没有显著差异。然而，我们发现存在2个风险因素时并发症发生率显著更高。此外，观察到有4个风险因素的患者瘢痕结局明显更差，恢复时间更长。
组织切除的范围对患者满意度评分和并发症没有统计学上可量化的影响。因此，我们认为仅在存在病变时才建议谨慎切除肌肉和脂肪。此外，有2个或更多风险因素的患者应在术前进行严格评估，以避免出现并发症。本手稿的简略形式在2014年9月11日至13日于德国慕尼黑举行的奥地利和德国整形、美容和重建外科学会第52届和第45届联合年会上发表。
