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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

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학술저널
저자정보
Kiang, Lee (Department of Ophthalmology, W.K. Kellogg Eye Center and Visual Sciences, University of Michigan) Deptula, Peter (Department of Surgery, Division of Plastic Surgery, University of Hawaii, John A Burns School of Medicine) Mazhar, Momal (Department of Surgery, Division of Plastic Surgery, University of Hawaii, John A Burns School of Medicine) Murariu, Daniel (Department of Plastic Surgery, University of Virginia) Parsa, Fereydoun Don (Department of Surgery, Division of Plastic Surgery, University of Hawaii, John A Burns School of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제41권 제5호
발행연도
2014.1
수록면
576 - 583 (8page)

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Background Standard upper blepharoplasty involves removal of both the skin and a portion of the underlying orbicularis oculi muscle. The senior author had observed sluggishness of eyelid closure, lagophthalmos as well as varying degrees of eye irritation in certain patients during the early postoperative period. He postulated that these findings could be due to orbicularis muscle excision. He therefore undertook a prospective study 27 years ago comparing standard blepharoplasty on one eyelid to skin-only excision on the fellow eyelid. Methods A randomized, prospective, single-blinded study was designed using the fellow eye as an internal control. 22 patients undergoing upper blepharoplasty procedure requiring greater than 5 mm of skin resection and with no history of ophthalmologic disease, dry eye, or previous eyelid surgery were selected. Upper blepharoplasty was performed with skin-only removal on one side, and combined skin-muscle removal on the other side. Patients were evaluated until six months after surgery except for two patients who were lost to follow-up after three months. Sluggish eyelid closure, lagophthalmos, dry eye and aesthetic result were outcome measures scored by patient survey, the operating surgeon, and a blinded expert panel. Results There were comparable aesthetic outcomes in both eyelids. The incidence of sluggish eyelid closure, lagophthalmos and dry eye syndrome were significantly higher in eyelids where wide segments of muscle had been resected. Conclusions Muscle-sparing upper blepharoplasty produces similar aesthetic outcomes as conventional blepharoplasty, while significantly reducing the complications of sluggish eyelid closure, lagophthalmos and dry eye disease. The authors therefore recommend muscle-sparing upper blepharoplasty.
#Blepharoplasty #Ptosis #Dry eye syndromes

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참고문헌 (13)

참고문헌 신청
Rohrich RJ / 2004 / Current concepts in aesthetic upper blepharoplasty / Plast Reconstr Surg 113:32e~42e google schola Fagien S. / 2002 / Advanced rejuvenative upper blepharoplasty: enhancing aesthetics of the upper periorbita / Plast Reconstr Surg 110:278~291 google schola Hoorntje LE / 2010 / Resecting orbicularis oculi muscle in upper eyelid blepharoplasty: a review of the literature / J Plast Reconstr Aesthet Surg 63:787~792 google schola Zide BM / 1985 / Surgical anatomy of the orbit / Raven Press google schola Terella AM / 2013 / Complications in perior-bital surgery / Facial Plast Surg 29:64~70 google schola

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