1. Repair Techniques for Failed Double-Eyelids Involving Restoration of Eyelid Anatomical Structure and Function
- Author
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Kaichong Nie, Xingxing Wang, Shiruo Zhang, Hailong Wu, Xinzhu Qi, and Yuanyuan Du
- Subjects
Adult ,Blepharoplasty ,Male ,Reoperation ,medicine.medical_specialty ,030230 surgery ,Young Adult ,030207 dermatology & venereal diseases ,03 medical and health sciences ,0302 clinical medicine ,Ptosis ,medicine ,Humans ,Treatment Failure ,Orbital septum ,Retrospective Studies ,business.industry ,Eyelids ,Recovery of Function ,Levator Palpebrae Superioris ,eye diseases ,Surgery ,Structure and function ,body regions ,Plastic surgery ,medicine.anatomical_structure ,Otorhinolaryngology ,Eyelid repair ,Female ,sense organs ,Eyelid ,medicine.symptom ,business - Abstract
This study aimed to evaluate techniques for repairing previously failed double-eyelid surgeries based on different anatomical structure injuries. A total of 120 patients with failed double-eyelids in our hospital were enrolled and classified into four types according to their anatomical structure damage: type I, unsmooth radians of the double-eyelid line; type II, upper socket depression; type III, iatrogenic ptosis; and type IV, comprehensive damage. Accordingly, methods of restoration included orbital septum fat supplement, repair of levator palpebrae superioris, and treatment of scar. Postoperative follow-up time points were 1 week, 1 month, and 6 months. Outcome observations were binocular symmetry, fluency of double-eyelid, scar recovery, height and contour profile of the upper eyelid margin, and plumpness of the upper eyelid. The eyelid morphological score was evaluated using photographs of preoperative and 6-month postoperative data, and the effect of eyelid repair was evaluated objectively by statistical analysis. At 1 month after surgery, the height of the upper palpebral margin was maintained in most patients and located at 1–2 mm below the superior limbus. At 6 months after surgery, most patients had better restorative effects. Comparison of mean eyelid morphological scores showed a statistically significant improvement following surgery (P
- Published
- 2019