Comparison of Colorado Needle Electrocautery and Traditional Scalpel for Lower Eyelid Blepharoplasty Incision: A Randomized Controlled Trial

Autor: Chatchai Pruksapong, MD, PhD, FRCST, Suttisun Jankajorn, FRCST, Chairat Burusapat, FRCST, Akaradech Attainsee, FRCST, Nutthapong Wanichjaroen, FRCST, Nuttadon Wongprakob, FRCST, Kolid Siriwattana, MD
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Plastic and Reconstructive Surgery, Global Open, Vol 12, Iss 11, p e6325 (2024)
Druh dokumentu: article
ISSN: 2169-7574
00000000
DOI: 10.1097/GOX.0000000000006325
Popis: Background:. Lower eyelid blepharoplasty is one of the most popular aesthetic procedures. Electrocautery provides a hemostatic benefit for skin incision; however, its effect on scar cosmesis remains unclear, particularly in Asian skin types. We compared the Colorado needle electrocautery (pure-cutting mode) versus the traditional scalpel in terms of efficacy, complications, and cosmetic outcomes. Methods:. A prospective intraindividual randomized controlled trial was conducted to compare the efficacy of Colorado needle electrocautery and scalpel in lower blepharoplasty. The study outcomes were scar quality at different times until 1 year postoperatively, bleeding during incision, and postoperative ecchymosis. Scar quality was evaluated using 3 standard scar ratings: the Vancouver Scar Scale, Patient and Observer Scar Assessment Scale, and Hollander wound evaluation scale. Results:. The study included 25 patients, and the electrocautery side had less blood loss during incision than the scalpel side (2.6 ± 0.65 versus 5.28 ± 0.68 sticks; P
Databáze: Directory of Open Access Journals