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学科主题临床医学
Cosmetic and structural outcomes of two different techniques of medial epicanthoplasty according to epicanthal fold classification and severity: A cohort study
Wang, Guanhuier; Zhang, Song; Ma, Jianxun; Li, Dong; Xue, Hongyu
通讯作者Li, Dong(1) ; Xue, Hongyu(1)
关键词Epicanthoplasty Outcome study Epicanthal fold Surgical technique
刊名JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
2018-10-01
DOI10.1016/j.bjps.2018.05.042
71期:10页:1453-1461
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Surgery
研究领域[WOS]Surgery
关键词[WOS]ASIAN EYELIDS ; PALPEBRAL FISSURE
英文摘要

Aim: This study aimed to compare the cosmetic and structural outcomes of two techniques for medial epicanthoplasty of the epicanthal fold, which varied in classification and severity.

Methods: Medical records and photographs of 106 patients (212 eyes) who underwent me-dial epicanthoplasty by the modified Z-plasty or modified redraping techniques were reviewed retrospectively. They underwent surgery from January 2009 to June 2017 and completed a follow-up of 6 months. The cosmetic outcome was evaluated in terms of satisfactory, symmetry, smoothness, and scarring by a four-point scoring method, and the structural outcome was assessed by the ratio of intercanthal distance (ICD) and interpupillary distance (IPD). The two surgical techniques in the same epicanthal classification and severity were compared and analyzed.

Results: The modified Z-plasty and modified redraping techniques had similar outcomes for satisfaction level in all types of epicanthal folds. The modified Z-plasty scored significantly higher for scarring in mild, moderate, and severe epicanthus palpebralis (p = 0.034, 0.028, and 0.013, respectively). The modified redraping technique scored significantly higher for smoothness in mild epicanthus tarsalis (p =0.025). In epicanthus palpebralis, the postoperative ICD/IPD ratio in the redraping technique was significantly low (p = 0.001 and 0.000, respectively), whereas the preoperative ratio showed no significant difference. In epicanthus tarsalis, the postoperative ICD/IPD ratio showed no significant difference, whereas the preoperative ratio showed significantly difference (p= 0.011 and 0.002, respectively).

Conclusions: The modified Z-plasty provided less scarring in epicanthus palpebralis. The modified redraping technique provided more smoothness in mild epicanthus tarsalis, and it was more efficient in shortening the ICD. (C) 2018 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

语种英语
WOS记录号WOS:000445243100012
通讯作者邮箱lidong9@sina.com ; 1989080802@qq.com
第一作者单位Peking Univ, Dept Plast & Reconstruct Surg, Hosp 3, 49 North Huayuan Rd, Beijing 100191, Beijing, Peoples R China
通讯作者单位Peking Univ, Dept Plast & Reconstruct Surg, Hosp 3, 49 North Huayuan Rd, Beijing 100191, Beijing, Peoples R China
ISSN1748-6815
引用统计
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/145572
专题北京大学第三临床医学院_成形外科
北京大学第一临床医学院_病理科
作者单位Peking Univ, Dept Plast & Reconstruct Surg, Hosp 3, 49 North Huayuan Rd, Beijing 100191, Beijing, Peoples R China
推荐引用方式
GB/T 7714
Wang, Guanhuier,Zhang, Song,Ma, Jianxun,et al. Cosmetic and structural outcomes of two different techniques of medial epicanthoplasty according to epicanthal fold classification and severity: A cohort study[J]. JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY,2018,71(10):1453-1461.
APA Wang, Guanhuier,Zhang, Song,Ma, Jianxun,Li, Dong,&Xue, Hongyu.(2018).Cosmetic and structural outcomes of two different techniques of medial epicanthoplasty according to epicanthal fold classification and severity: A cohort study.JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY,71(10),1453-1461.
MLA Wang, Guanhuier,et al."Cosmetic and structural outcomes of two different techniques of medial epicanthoplasty according to epicanthal fold classification and severity: A cohort study".JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY 71.10(2018):1453-1461.
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