An Analysis of Surgical Factors Associated With Clinically Significant Eyelid Edema (CSEE) in Patients Undergoing Blepharoplasty: Lid Crease Techniques Associated with CSEE.

Autor:	Park KE; Keck School of Medicine, University of Southern California, Los Angeles., Guo S; Keck School of Medicine, University of Southern California, Los Angeles.; Department of Ophthalmology, University of California-Irvine, Irvine, California., Mehta P; Keck School of Medicine, University of Southern California, Los Angeles.; Department of Ophthalmology, New York University, New York City, New York., Li J; Keck School of Medicine, University of Southern California, Los Angeles., Shen A; Department of Ophthalmology, Byers Eye Institute, Stanford University, Palo Alto, California., Bokman CL; Frantz EyeCare, Fort Myers, Florida., Chang JR; Division of Oculofacial Plastic Surgery, Department of Ophthalmology, Roski Eye Institute, University of Southern California, Los Angeles, California, U.S.A., Zhang-Nunes S; Division of Oculofacial Plastic Surgery, Department of Ophthalmology, Roski Eye Institute, University of Southern California, Los Angeles, California, U.S.A.
Jazyk:	angličtina
Zdroj:	Ophthalmic plastic and reconstructive surgery [Ophthalmic Plast Reconstr Surg] 2024 Nov-Dec 01; Vol. 40 (6), pp. 701-705. Date of Electronic Publication: 2024 May 09.
DOI:	10.1097/IOP.0000000000002702
Abstrakt:	Purpose: Severe postoperative edema after eyelid surgery can have negative clinical and psychological effects. In this study, the authors investigated whether surgical factors, including surgical techniques and suture type, were associated with clinically significant eyelid edema (CSEE). Methods: A chart review was performed on 269 patients who underwent upper eyelid blepharoplasty with or without external levator advancement by 2 surgeons at a single institution between January 2021 and December 2022. Postoperative photos were graded by 2 physicians for eyelid edema using a standardized grading scale ranging from 0 (no edema) to 3 (severe edema). CSEE was defined either as having a grade of 3 at any point postoperatively or any grade that was 1 or greater after 90 days postoperatively. Logistic regression controlling for race was used for analysis; the statistical significance level was defined as p < 0.05. Results: Of 269 patients, 56 developed CSEE. Of those who underwent blepharoplasty with mini crease enhancement (closure with every other bite incorporating levator aponeurosis), 40.5% developed CSEE versus 12.5% of those without ( p < 0.001). Patients with lid crease formation using buried interrupted sutures had greater CSEE than those with externalized interrupted sutures removed at 1 week (43.8% versus 11.5%, p < 0.01). There was no increased risk of CSEE with additional procedures performed versus blepharoplasty alone. Conclusions: Patients who underwent blepharoplasty with mini crease enhancement, where more than 4 sutures are placed from skin to levator, and/or had buried suture lid crease formation had greater rates of CSEE. Competing Interests: The authors have no financial or conflicts of interest to disclose. (Copyright © 2024 The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc.)
Databáze:	MEDLINE
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