Invisible scar medial epicanthoplasty: A novel approach
Invisible scar medial epicanthoplasty: A novel approach
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DOI：
10.1016/j.bjps.2017.01.014
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发表时间：
2017-07-01
影响因子：
2.7
通讯作者：
Lin, Xiaoxi
中科院分区：
文献类型：
--
作者：
Jin, Yunbo;Lyu, Dongze;Lin, Xiaoxi
背景：目前，有许多技术可以使内眦赘皮不那么突出。然而，可见的疤痕仍然是大多数技术中的主要问题。本研究的目的是开发一种新的设计，使用隐藏的切口与最小tension.Methods：2010年12月至2015年5月，图表进行了审查，从谁接受了隐藏的切口和无张力技术，以纠正内眦赘皮。在术前和术后1年对眦间距（ICD）、瞳孔间距（IPD）、瘢痕可见度和美容效果进行评价。计算ICD与IPD的比率（ICD比率），并评估瘢痕的可见性。结果：共纳入136例患者（平均年龄25.2 ± 2.7岁，范围20-32岁）。术前中位ICD比率为0.60（范围：0.54-0.68），术后降至0.54（范围：0.48-0.62）。中位ICD比率降低为9.1%（范围：3.6%-22.0%; P < 0.001，Wilcoxon符号秩检验）。134例患者（98.5%）无可见瘢痕或仅在密切检查下可见的极轻微瘢痕。2例患者（1.5%）出现了更明显的瘢痕，但均未出现需要翻修的严重瘢痕。由患者和外科医生判断的美学结果是优秀或良好的，在所有cases.Conclusions：从我们的经验，内侧内眦赘皮整形术后的疤痕可以最大限度地减少通过使用一个隐藏的切口和无张力技术。我们的技术是一种有效和个性化的方法，导致很高的满意率。(C)2017年英国整形，重建和美容外科医生协会。由爱思唯尔有限公司出版。保留所有权利。
Background: Presently, many techniques have been described to make the epicanthal fold less prominent. However, visible scarring remains a major concern in most techniques. The aim of this study was to develop a novel design using concealed incisions with minimal tension.Methods: Between December 2010 and May 2015, charts were reviewed from patients who underwent a concealed incision and tension-free technique to correct the epicanthal fold. The intercanthal distance (ICD), interpupillary distance (IPD), scar visibility, and cosmetic results were evaluated preoperatively and 1 year after the surgery. The ratio of the ICD to IPD (ICD ratio) was calculated, and the visibility of the scar was assessed.Results: In total, 136 patients (mean age 25.2 +/- 2.7 years, range 20-32 years) were included. The preoperative median ICD ratio was 0.60 (range, 0.54-0.68) and decreased to 0.54 (range, 0.48-0.62) postoperatively. The median ICD ratio reduction was 9.1% (range, 3.6%-22.0%; P < 0.001, Wilcoxon signed-rank test). One hundred and thirty-four patients (98.5%) had no visible scarring or minimal scarring visible only under close inspection. Two patients (1.5%) experienced a more prominent scar, but none of them developed a severe scar requiring revision. The aesthetic outcome judged by the patient and surgeon was excellent or good in all cases.Conclusions: From our experience, the scar after medial epicanthoplasty can be minimized by using a concealed incision and tension-free technique. Our technique is an effective and individualized method, leading to a high satisfaction rates. (C) 2017 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.