Publication: Elaborated analysis of short and long term results of skin blepharoplasty versus skin+muscle blepharoplasty
No Thumbnail Available
Date
2022-09-15
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Objective:Blepharoplasty surgery is one of the world\"s most commonly performed surgical procedures; however, the effects of including muscle excision in routine skin removal are unclear. It was aimed to evaluate the short and long-term effects of skin only andskin+ muscle excision blepharoplasty on corneal nerves, dry eye parameters, meibomian glands, and eyebrow height.Materials and Methods: Twenty-four eyes (Group-S) of 12 patients who underwent skin excision and 24 eyes (Group-M) of 12 patients who underwent skin+muscle excision were included in the study. Preoperative, 1st week, 1st month, and 1st year Schirmer test, corneal confocal microscopy (CCM) parameters, non-invasive tear break-up time (NTBUT), meibomian gland area (MGA) analysis with infrared meibography, and lateral (LBH) and central (CBH) eyebrow heights were evaluated.Results:There was no significant difference between the two groups regarding age, gender, and preoperatively evaluated parameters (p>0.05). According to the preoperative values, a significant decrease was observed in the CCM parameter of nerve branch density in Group-S at week 1 (19.50±7.88 vs. 16.70±7.72 branches/mm2, p=0.026), and a significant decrease was observed in nerve fiber density in Group-M (19.98 ±7.59 vs. 17.11±7.16 fibers/mm2, p=0.006). A non-significant increase was observed in corneal nerve parameters in the 1st month; however, there was a slight decrease in the 1st year compared to baseline in both groups (p>0.05). Regarding Schimmer and NTBUT, there was no significant change from baseline in all visits in both groups (p>0.05). According to preoperative MGA values, a significant increase was observed in Group-S (18.84±6.02 vs. 21.18± vs.6.10, p=0.005) and Group-M (18.25±8.45 vs. 20.21±8.02, p=0.001) at 1 year. While no significant change was observed in eyebrow height in Group-S, a significant increase was observed in Group-M at 1 year in LBH (16.50±2.81 vs. 17.19±2.40 mm, p=0.007) and 1 month (17.31±2.77 vs. 18.00±2.50 mm, p=0.007) and 1 year (17.31±2.77 vs. 18.13±2.71 mm, p=0.001) in CBH compared to baseline.Conclusion:Elaborated analysis of this cohort showed that both surgical methods had similar effects on corneal nerves and dry eye parameters. Both approaches provided a significant increase in MGA. In addition, including muscle excision in the routine blepharoplasty operation has been found to be a reliable method that will also give a slight elevation in eyebrow position.
Description
Keywords
Tıp, Cerrahi Tıp Bilimleri, Göz Hastalıkları ve Cerrahisi, Sağlık Bilimleri, Medicine, Surgery Medicine Sciences, Eye Diseases and Surgery, Health Sciences, Klinik Tıp (MED), Klinik Tıp, CERRAHİ, OFTALMOLOJİ, Clinical Medicine (MED), CLINICAL MEDICINE, SURGERY, OPHTHALMOLOGY, Optometri, Cerrahi, Oftalmoloji, Optometry, Surgery, Ophthalmology
Citation
Dericioğlu V., Şan B., \"Elaborated Analysis of Short and Long Term Results of Skin Blepharoplasty versus Skin+Muscle Blepharoplasty\", 40th ESOPRS Meeting, Nice, Fransa, 15 - 18 Eylül 2022, ss.5-7