Fallahi Hamid Reza, Keyhan Seied Omid, Niamtu Joe, Alikazemi Milad, Habibagahi Raha
Oral Maxillofacial Surgeon, Private Practice; Dental Research Center, Research Institute of Dental Sciences and School of Advanced Technologies in Medicine, Shahid Beheshti University of Medical Sciences and Health Services, Tehran, Iran.
Oral Maxillofacial Surgeon, National Advance Center for Craniomaxillofacial Reconstruction, Craniomaxillofacial Research Center, Tehran University of Medical Sciences; and Regenerative Medicine and Stem Cell Research Network, Shahaid Beheshti University of Medical Sciences and Health Services, Tehran, Iran.
J Oral Maxillofac Surg. 2020 Jun;78(6):1006-1012. doi: 10.1016/j.joms.2020.01.015. Epub 2020 Jan 23.
Numerous methods have been developed for blepharoplasty, including carbon dioxide (CO) laser-assisted blepharoplasty. Although the superiority of CO laser compared with the scalpel for blepharoplasty has been proposed, to the best of our knowledge, no study has compared the clinical outcomes of blepharoplasty with the CO laser alone versus the combined use of a scalpel and CO laser.
In the present randomized clinical trial, 21 healthy patients underwent bilateral upper eyelid blepharoplasty. For each patient, an initial skin incision was made using the CO laser (setting, continuous emission; ultrapulse mode; 3 W of power) on 1 side and a scalpel on the other side. The remaining blepharoplasty steps were conducted using the CO laser (setting, continuous emission; 9 W of power) in both groups. The patients were evaluated on postoperative days 1, 3, 7, 14, and 30 using the postoperative repair criteria, including edema and ecchymosis. The Manchester scar scale was used to evaluate the results at 60 days after surgery.
Our comparison of the 2 methods showed no significant differences at 1 month after surgery using the evaluation criteria. The scar index was not significantly different after 60 days, despite lower scores in the scalpel group.
In upper eyelid blepharoplasty, making an initial incision with a scalpel, followed by use of a laser provides advantages similar to those found by performing the entire procedure with a CO laser alone.
已开发出多种用于眼睑成形术的方法，包括二氧化碳（CO）激光辅助眼睑成形术。尽管有人提出CO激光在眼睑成形术方面优于手术刀，但据我们所知，尚无研究比较单纯使用CO激光与联合使用手术刀和CO激光进行眼睑成形术的临床效果。
在本随机临床试验中，21名健康患者接受了双侧上睑眼睑成形术。对于每位患者，一侧使用CO激光（设置：连续发射；超脉冲模式；功率3W）进行初始皮肤切口，另一侧使用手术刀。两组的其余眼睑成形术步骤均使用CO激光（设置：连续发射；功率9W）进行。在术后第1、3、7、14和30天，使用包括水肿和瘀斑在内的术后修复标准对患者进行评估。术后60天使用曼彻斯特瘢痕量表评估结果。
我们对这两种方法的比较显示，在术后1个月使用评估标准时无显著差异。尽管手术刀组的评分较低，但60天后瘢痕指数无显著差异。
在上睑眼睑成形术中，先用手术刀进行初始切口，然后使用激光，其效果与单纯使用CO激光进行整个手术相似。
