A Modified Procedure for Single-eyelid Asian Females with Lacrimal Gland Prolapse: Lacrimal Gland Reposition combined with Fat Transposition in Double-eyelid Operation

Yang, Changsheng; Guo, Xiaoshuang; Du, Le; Song, Guodong; Zong, Xin; Zhang, Dong; Du, Hong; Dong, Xinhang; Zhao, Jingyi; Jin, Xiaolei

doi:10.1007/s00266-021-02213-7

Cited by 7 publications

(5 citation statements)

References 23 publications

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“…Also, few are recent, although the relevance of this note is minor as they are studies describing a surgical technique. To confirm the findings of the series found in the review and to determine more reliably the rate of recurrences and complications after ptosis correction, further prospective studies with a larger sample size are needed, similar to the series published by Yang et al 19…”

Section: Discussionmentioning

confidence: 63%

“…14 Sometimes additional maneuvers (e.g., preaponeurotic fat transposition) may be necessary if after repositioning the gland a “vacuum” is felt, as has been noted most frequently in Asian patients. 19 In the included studies, there is disparity in the closure of the orbital septum. In their experience, the authors recommend its closure because one of the problems in glandular ptosis is that the septum itself has given way, and this maneuver could help in the treatment of this condition 20 and maintain the prolapse repair.…”

Section: Discussionmentioning

confidence: 99%

“…17 The correction of lacrimal gland ptosis has already been described by several authors in the literature. 3,9,[12][13][14][18][19][20][21][22][23][24][25][26][27] However, most of these series found are small and there is no literature review that compiles and synthesizes their results and possible complications.…”

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confidence: 99%

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Correction of Lacrimal Gland Ptosis in Blepharoplasty: A Systematic Review

Chavarino

Cerdá

Magallón

et al. 2023

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Purpose: Lacrimal gland ptosis has a prevalence of 10% to 15% in Caucasian patients, reaching up to 60% in older age. Its involuntary resection during blepharoplasty carries the potential risk of compromising corneal lubrication. The purpose of this systematic review is to check whether there is a consensus in the literature regarding the surgical procedure of choice and which outcomes and complications have been observed.Methods: A systematic review was carried out following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A search was carried out in the Medline, Scopus, and Cochrane databases in March 2022.Results: A total of 16 studies involving 483 patients with lacrimal gland ptosis have been included. In 90.06% of patients, resuspension or direct refixation of the gland to the lacrimal fossa with suture to the orbital periosteum was performed. Follow up has been inconsistent, with an average of 18 months. Regarding complications, 5 recurrences and only 2 patients with persistent dry eye were observed.Conclusions: In general, the evidence is sparse. Nevertheless, repair of lacrimal gland ptosis is a relatively simple, reproducible, and safe surgical technique, with a low likelihood of recurrence, severe, or persistent complications. A classification is proposed for both the grading of ptosis and its treatment.

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Section: Discussionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 99%

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Correction of Lacrimal Gland Ptosis in Blepharoplasty: A Systematic Review

Chavarino

Cerdá

Magallón

et al. 2023

Ophthalmic Plastic &Amp; Reconstructive Surgery

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“…Another method is suturing the Whitnall ligament to the periosteum of the orbital rim to support the anterior aspect of the gland 4 . In 2021, Yang et al 15 combined gland repositioning with superotemporal transposition of the middle-fat pad in Asian-lid surgery. The frontal bone fixation technique described by Choudray and colleagues does not seem to be a method that can be applied to every patient because it requires additional surgical equipment and time.…”

Section: Discussionmentioning

confidence: 99%

Modified Lacrimal Gland Suspension Technique in Patients Who Underwent Upper Eyelid Blepharoplasty

Vatansever

2023

Journal of Craniofacial Surgery

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Aim: The aim of the present study was to evaluate the efficacy of modified lacrimal gland suspension surgery combined with upper lid blepharoplasty. Methods: Between December 2020 and December 2021, 365 patients admitted to our clinic for ptosis were included in the study. The data of 89 patients who underwent upper lid blepharoplasty with lacrimal gland repositioning for dermatochalasis were analyzed. Results: Combined surgery was performed in 24.38% of the patients included in the study; 16 (17.9%) of these patients were males and 73 (82.1%) were females, and the mean age of the patients was 47.34 ± 8.13 years. The mean follow-up period was 16.42 ± 2.63 months. In patients who underwent lacrimal gland suspension, 72 (85%) of the patients complained of swelling on the outer part of the upper lid before surgery. However, 9 (10.11%) of the patients did not have lacrimal gland prolapse, and only fat prolapse was present in these patients. No complication or recurrence was observed in any patient during the follow-up period. Discussion: With the new modified technique, the lacrimal gland can be suspended close to the anatomical position, and satisfactory results can be obtained for both the patient and the surgeon.

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“…e incision method is commonly used in practice [4]. However, the incision method of double eyelid operation can beautify people's faces on the premise of success, but it may aggravate the sag of upper eyelid if the operation fails and even cause a series of complications [5]. erefore, autogenous fat filling is proposed.…”

Section: Introductionmentioning

confidence: 99%

Removal of Autogenous Fat Filling in Double Eyelid Operation by Artificial Intelligence (AI) Algorithm-Based Computerized Tomography (CT) Image Features

Fang

Sui²,

Liang

2022

Scientific Programming

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The effect of autogenous fat filling was evaluated by computerized tomography (CT) image features based on the symmetric extended convolutional residual network image denoising algorithm in this research, and the pathological examination was conducted for the lesions of patients with complications. The examination provided more valid research basis for the clinical application of autogenous fat filling. 60 patients who received double eyelid operation were selected as the research objects, and the patients were randomly divided into the control group and the experimental group, where each group included 30 cases. The conventional double eyelid operation was adopted in treating the cases in the control group, while autogenous fat filling was adopted in the treatment of the cases in the experimental group. All patients in two groups were examined by CT images based on the symmetric extended convolutional residual network image denoising algorithm, and the therapeutic effects on patients in two groups and the evaluation of complications were compared. Next, the lesions of the complications of patients in the experimental group were examined pathologically. Besides, the efficacy and security of the pathological examination were assessed. The result showed that the values of peak signal-to-noise ratio (PSNR) and structural similarity (SSIM) (σ (noise level) = 60 : 24.78 dB, 0.7022) in different noise images of the artificial intelligence algorithm adopted in the research were obviously higher than those obtained by the convolutional neural network (CNN) and deep convolutional neural network (DCNN) algorithms (P < 0.05). The therapeutic efficacy of patients in the experimental group was higher than that in the control group (68.67% vs 60%). In addition, eyelid swelling scoring, double eyelid line width, and upper eyelid muscle strength of patients in the experimental group were all better than those of patients in the control group (P < 0.05). Besides, the incidence of complications (10%) of patients in the experimental group was significantly lower than that (30%) of patients in the control group. The pathological results of patients in the experimental group demonstrated that the lesion tissues might denature in future. As a result, the CT image processing of the algorithm adopted in this research could denoise effectively, and PSNR and SSIM values were high. In terms of the treatment by double eyelid operation, autogenous fat filling was effective, noninvasive, simple and resulted in low incidence of complications with a certain degree of security.

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A Modified Procedure for Single-eyelid Asian Females with Lacrimal Gland Prolapse: Lacrimal Gland Reposition combined with Fat Transposition in Double-eyelid Operation

Cited by 7 publications

References 23 publications

Correction of Lacrimal Gland Ptosis in Blepharoplasty: A Systematic Review

Correction of Lacrimal Gland Ptosis in Blepharoplasty: A Systematic Review

Modified Lacrimal Gland Suspension Technique in Patients Who Underwent Upper Eyelid Blepharoplasty

Removal of Autogenous Fat Filling in Double Eyelid Operation by Artificial Intelligence (AI) Algorithm-Based Computerized Tomography (CT) Image Features

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