Fu An-Qi, Li Gao-Feng, Zhang Bo, Ding Wei, Long Xi-Ren
Department of Plastic and Cosmetic Surgery, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, 61 Jiefangxi Road, Changsha, 410005, Hunan Province, People's Republic of China.
Aesthetic Plast Surg. 2023 Feb;47(1):215-222. doi: 10.1007/s00266-022-03134-9. Epub 2022 Oct 27.
To observe the clinical effect between orbital septum incision and classical incision of double eyelid plasty.
We retrospectively analyzed 381 patients who underwent double eyelid blepharoplasty in the Department of Plastic and Laser Cosmetology of Hunan Provincial People's Hospital from January 2019 to December 2019. The patients were divided into two groups according to different surgical methods: group A (n = 146) received the classical method and group B (n = 235) received the orbital septum method. The incidence of early postoperative complications, scar depression from 6 months to 1 year after the operation, the condition of 'meat strip' (the accumulation of soft tissue in front of the tarsal plate after double eyelid surgery, including skin, muscle, and fascia fat, results in a hypertrophic appearance of the upper eyelid) below the double eyelid line, and the symmetry of double eyelids were analyzed and evaluated.
The total number of early postoperative complications in group A was seven cases (incidence rate: approximately 4.80%), and the total number of early postoperative complications in group B was two cases (incidence rate: approximately 0.85%), with a statistically significant difference (P < 0.05). The degree of scar depression in group B was significantly lighter than that in group A from 6 months to 1 year after the operation (P < 0.05). The score of 'meat strip' below the double eyelid line in group B was significantly lighter than that in group A (P < 0.05). The symmetry of double eyelids in group B was better than that in group A (P < 0.05) CONCLUSION: Compared to the classical double eyelid method, the orbital septum method has the advantages of reducing early postoperative complications, reducing the severity of the scar, slighting the 'meat strip,' and improving symmetry, which results in higher postoperative satisfaction LEVEL OF EVIDENCE III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors https://www.springer.com/00266 .
观察眶隔切口与经典切口双眼皮成形术的临床效果。
回顾性分析2019年1月至2019年12月在湖南省人民医院整形激光美容科行双眼皮成形术的381例患者。根据不同手术方法将患者分为两组：A组（n = 146）采用经典方法，B组（n = 235）采用眶隔法。分析评估术后早期并发症发生率、术后6个月至1年的瘢痕凹陷情况、双眼皮线下“肉条”（双眼皮手术后睑板前软组织堆积，包括皮肤、肌肉和筋膜脂肪，导致上睑肥厚外观）情况以及双眼皮的对称性。
A组术后早期并发症共7例（发生率：约4.80%），B组术后早期并发症共2例（发生率：约0.85%），差异有统计学意义（P < 0.05）。术后6个月至1年，B组瘢痕凹陷程度明显轻于A组（P < 0.05）。B组双眼皮线下“肉条”评分明显低于A组（P < 0.05）。B组双眼皮对称性优于A组（P < 0.05）。结论：与经典双眼皮方法相比，眶隔法具有减少术后早期并发症、减轻瘢痕严重程度、减轻“肉条”、提高对称性的优点，从而使术后满意度更高。证据级别III：本刊要求作者为每篇文章指定证据级别。有关这些循证医学评级的完整描述，请参阅目录或在线作者指南https://www.springer.com/00266 。
