A 45-degree Upward Tension-Releasing Epicanthoplasty Performed in 712 Consecutive Cases

Park, Sang Eun; Choi, Bong Kyoon; Roh, Tai Suk; Lew, Dae Hyun; Jung, Byungjo

doi:10.1016/j.bjps.2021.03.116

Cited by 1 publication

(1 citation statement)

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“…Additionally, layered suturing of the tarsal plate and skin ensures correct alignment of the eyelid layers, aiding in the restoration of the eyelid's natural curvature and functionality [11], maintaining mechanical stability and aesthetic alignment. Finally, the eyelid margin skin is closed with four stitches, precisely sealing the wound and effectively dispersing wound tension, reducing the risk of wound dehiscence, and ensuring aesthetic results postoperatively [12]. The second suture knot secures the end of the rst suture to avoid irritation to the corneal tissue during the one-week suture removal period, thus enhancing postoperative comfort.…”

Section: Discussionmentioning

confidence: 99%

Clinical Observation of the "Vertical-Horizontal VI" Surgical Technique in Eyelid Margin Tumor Excision and One-stage Reconstruction

Liu,

Xie,

et al. 2024

Preprint

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Objective: This study aims to evaluate the application efficacy of the novel "Vertical-Horizontal VI" surgical technique in the excision and one-stage reconstruction of eyelid margin tumors. Methods: This research enrolled 163 patients who underwent eyelid margin tumor excision at Ningbo Eye Hospital from September 2016 to December 2023. Based on different surgical indications, three techniques were utilized: simple excision, excision plus sliding flap, and the "Vertical-Horizontal VI" technique. The outcomes were assessed by comparing preoperative and postoperative photographs and using four postoperative outcome scores (scar score, eyelash score, eyelid margin contour, and eyelid function). Results: The "Vertical-Horizontal VI" technique showed superior performance in scar scoring, with 96.26% of patients achieving the highest score (3 points), significantly better than the 71.43% with simple excision and 31.43% with excision plus sliding flap (P<0.05). In terms of eyelash scoring and eyelid margin contour scoring, the "Vertical-Horizontal VI" technique also showed significant advantages, with 100% and 96.26% of patients respectively obtaining the highest scores, far surpassing the other two techniques (P<0.05 for both). However, in eyelid function scoring, patients treated with all three methods achieved the highest score (3 points), indicating effective restoration of eyelid function with no significant differences (P>0.05). Conclusion: The "Vertical-Horizontal VI" technique offers an innovative approach for the excision and one-stage reconstruction of eyelid margin tumors, particularly excelling in reducing scar formation, maintaining continuous eyelash line, preserving natural eyelid contour, and restoring normal eyelid function. These results suggest that the "Vertical-Horizontal VI" technique holds significant potential for treating eyelid margin tumors, contributing to potentially enhanced postoperative patient satisfaction and quality of life.

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Section: Discussionmentioning

confidence: 99%