Department of Oral and Maxillofacial Surgery, University of Groningen and University Medical Center Groningen (UMCG), Groningen, The Netherlands.
Department of Oral and Maxillofacial Surgery, University of Groningen and University Medical Center Groningen (UMCG), Groningen, The Netherlands.
Int J Oral Maxillofac Surg. 2022 Sep;51(9):1161-1169. doi: 10.1016/j.ijom.2022.02.007. Epub 2022 Feb 23.
It is not yet established whether additional orbicularis oculi muscle excision leads to better patient-reported aesthetic outcomes (PRO) compared to a skin-only resection blepharoplasty. A double-blind randomized controlled trial of upper blepharoplasty, with or without muscle excision, was performed on 54 White European patients who assessed the procedure via PRO. FACE-Q questionnaires covering eyes in general, upper eyelids, forehead and eyebrows, overall face, age appearance appraisal, age appraisal, social functioning, satisfaction with the outcome, and adverse effects were completed preoperatively and at 6 and 12 months after upper blepharoplasty. The Patient and Observer Scar Assessment Scale was used to assess scarring. The FACE-Q scores for skin-only and skin/muscle upper blepharoplasty were similar regarding the upper eyelids, forehead and eyebrows, overall face, patient perceived aging and age, social functioning, and satisfaction with the results, and also increased for both procedures with time. The FACE-Q score regarding the eyes in general was higher in the skin-only group at the 12-month follow-up. Scarring and adverse effects did not differ between the groups. Additional muscle resection does not seem to influence patient satisfaction. Thus, when performing an upper blepharoplasty, there is no need for additional muscle resection as a routine procedure to improve patient satisfaction.
尚未确定与单纯皮肤切除的双眼皮成形术相比，额外切除眼轮匝肌是否会带来更好的患者报告美学结果 (PRO)。对 54 名白种欧洲患者进行了一项上睑成形术的双盲随机对照试验，其中包括或不包括肌肉切除，并通过 PRO 评估手术。FACE-Q 问卷涵盖了眼睛、上眼睑、额头和眉毛、整个面部、年龄外观评估、年龄评估、社会功能、对结果的满意度以及不良反应，分别在术前、上睑成形术后 6 个月和 12 个月进行评估。使用患者和观察者瘢痕评估量表来评估瘢痕。单纯皮肤和皮肤/肌肉上睑成形术的 FACE-Q 评分在上眼睑、额头和眉毛、整个面部、患者感知的衰老和年龄、社会功能以及对结果的满意度方面相似，并且随着时间的推移，两种手术的评分都有所增加。在 12 个月的随访中，单纯皮肤组的“一般眼部”FACE-Q 评分更高。两组之间的瘢痕和不良反应无差异。额外的肌肉切除似乎不会影响患者满意度。因此，在上睑成形术中，无需常规进行额外的肌肉切除以提高患者满意度。
