The Second Department of Craniomaxillofacial Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing, 100144, People's Republic of China.
The Department of Hypospadias Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China.
Aesthetic Plast Surg. 2023 Jun;47(3):1067-1075. doi: 10.1007/s00266-022-03154-5. Epub 2022 Nov 8.
Small-incisional double-eyelid surgery has increasingly gained popularity. In the published studies, the number of incisions, the debulking method, and the pretarsal fixation differ significantly among studies. Hence, this article was conducted to summarize the different techniques and compare their surgical results and complications.
The literature review was conducted using the PubMed and Cochrane databases from their inception to June 1, 2022. Clinical studies of small-incisional blepharoplasty with available full-text and extractable data were included and were grouped depending on the number of incisions. The number, length and location of the incisions, debulking method, fixation technique, and skin closure were concluded. The complications were statistically analyzed and compared.
Finally, 13 articles and 4177 patients were eligible for reviewing, among which 5 studies (2460 patients) described single-incisional technique, 2 studies (645 patients) described two-incisional technique, 5 studies (700 patients) described three-incisional technique, and 1 study (372 patients) described four-incisional technique. Through the small incisions, the pretarsal soft tissue can be removed as appropriate, and the pretarsal fixation can be firm and exact. Both the single- and three-incisional studies had a pooled total complication rate of 5% and a pooled foldloss rate of 2%. No significant difference was found between groups.
The small-incisional techniques offer a simple, safe, and reproducible approach to double-eyelids. It reduces post-op recovery time and allows a tenacious fixation. The fold-loss rate and other complication rate are acceptable when compared with the non-incisional and full-incisional techniques.
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 www.springer.com/00266.
小切口重睑术越来越受欢迎。在已发表的研究中，切口数量、去脂方法和睑板前固定术在不同研究中差异显著。因此，本文旨在总结不同技术，并比较其手术效果和并发症。
检索 PubMed 和 Cochrane 数据库自建库至 2022 年 6 月 1 日的相关文献，纳入小切口重睑术的临床研究，提取资料并进行分组，根据切口数量进行分组。总结切口数量、长度和位置、去脂方法、固定技术和皮肤缝合方法，对并发症进行统计学分析和比较。
最终纳入 13 篇文献，共 4177 例患者，其中 5 篇（2460 例）文献描述了单切口技术，2 篇（645 例）文献描述了双切口技术，5 篇（700 例）文献描述了三切口技术，1 篇（372 例）文献描述了四切口技术。通过小切口，可以适当去除睑板前软组织，并且固定牢固、准确。单切口和三切口研究的总并发症发生率为 5%，重睑线消失率为 2%，组间差异无统计学意义。
小切口技术为双眼皮手术提供了一种简单、安全、可重复的方法，减少了术后恢复时间，且固定牢固。与非切口和全切口技术相比，重睑线消失率和其他并发症发生率可接受。
证据水平 III：本杂志要求作者为每篇文章分配证据水平。有关这些循证医学分级的详细描述，请参考目录或在线作者指南 www.springer.com/00266。
