Keyhan Seied Omid, Fallahi Hamid Reza, Fattahi Tirbod, Nourbakhshian Farzaneh, Cheshmi Behzad
Oral & Maxillofacial Surgeon and Co-Investigator, Department of Oral & Maxillofacial Surgery, College of Medicine, University of Florida, Jacksonville, FL.
Private Practitioner, School of Advanced Technologies in Medicine, and Dental Research Center, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Oral Maxillofac Surg. 2020 Aug;78(8):1416.e1-1416.e9. doi: 10.1016/j.joms.2020.03.018. Epub 2020 Mar 24.
The periorbital area undergoes a series of postoperative sequelae after rhinoplasty.
Between January 2015 and January 2016, 50 patients aged between 19 and 46 years who underwent rhinoplasty qualified for the study. Of these patients, 25 were chosen for each group: One group underwent a low-to-low lateral nasal osteotomy, and the other group underwent a low-to-high lateral nasal osteotomy. Six specific periocular findings were designated and recorded to measure differences in the outcomes of the 2 osteotomy techniques. Specific periocular findings included the amount of scleral show as measured through the marginal reflex distance; lateral and medial scleral surface area; and palpebral fissure height, width, and inclination.
There were no significant differences in any of the outcome variables at different intervals between the 2 groups (P > .05) except for palpebral fissure inclination after 3 months (P = .02).
According to the results and considering the inherent limitations of the study, it can be concluded that both low-to-low and low-to-high techniques are similar and have no considerable permanent effects on the periorbital region.
鼻整形术后眶周区域会出现一系列术后后遗症。
2015年1月至2016年1月期间，50例年龄在19至46岁之间接受鼻整形手术的患者符合研究条件。这些患者中，每组选取25例：一组进行低位至低位外侧鼻骨截骨术，另一组进行低位至高位外侧鼻骨截骨术。指定并记录六项特定的眼周表现，以测量两种截骨技术在结果上的差异。特定的眼周表现包括通过边缘反射距离测量的巩膜暴露量；外侧和内侧巩膜表面积；以及睑裂高度、宽度和倾斜度。
两组之间在不同时间间隔的任何结果变量上均无显著差异（P > 0.05），但术后3个月时睑裂倾斜度除外（P = 0.02）。
根据结果并考虑到本研究的固有局限性，可以得出结论，低位至低位和低位至高位技术相似，对眶周区域没有显著的永久性影响。
