Modified Full Thickness Graded Blepharotomy for Upper Eyelid Retraction Associated With Thyroid Eye Disease in East Asians
DC Field | Value | Language |
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dc.contributor.author | Lee, Joonsik | - |
dc.contributor.author | Lee, Hwa | - |
dc.contributor.author | Park, Minsoo | - |
dc.contributor.author | Baek, Sehyun | - |
dc.date.accessioned | 2021-09-03T16:02:07Z | - |
dc.date.available | 2021-09-03T16:02:07Z | - |
dc.date.created | 2021-06-16 | - |
dc.date.issued | 2016-12 | - |
dc.identifier.issn | 0148-7043 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/86590 | - |
dc.description.abstract | Purpose: To evaluate the functional and cosmetic outcomes of modified full thickness graded blepharotomy when used for East Asian patients with upper eyelid retraction of thyroid eye disease (TED). Method: Medical records of each patient who underwent modified full-thickness blepharotomy at Korea University Guro Hospitals from January 2009 to February 2014 to correct upper eyelid retraction resulting from TED were retrospectively reviewed. Results: Modified full-thickness graded blepharotomies were performed on 22 eyelids of 18 patients. The most common preoperative upper eyelid retraction-associated symptom was asymmetry of the upper eyelid (14 patients, 77.7%) followed by discomfort (10 patients, 55.5%), photophobia (5 patients, 27.7%), and epiphora (4 patients, 22.2%). Most preoperative symptoms improved after blepharotomy (Table 1). Preoperatively, upper eyelid retraction (MRD1; midpupil marginal reflex distance) ranged from 2.3 mm to 6.8 mm (mean, 5.23 +/- 0.89) in 22 lids; postoperatively, lid retraction significantly decreased to 3.26 +/- 1.23 mm (P = 0.03 by independent t test) (Table 2). Lid retraction was divided into 3 groups according to severity; a severe group (5 eyelids, 27.7%), amoderate group (14 eyelids, 63.6%), and a mild group (3 eyelids, 13.6%). The MRD1 improved regardless of severity (P = 0.03 in the severe group, P = 0.02 in the moderate group, and P = 0.04 in the mild group by independent t test). TheMRD1 improvement did not differ significantly among groups (P = 0.08 by Pearson chi(2) t test). At 6 months postoperatively, the midpupil marginal reflex distance was the perfect height in 13 of 22 lids (59.0%), with a mean reduction of 3 mm, whereas 7 of 22 eyelids (31.8%) were at acceptable height and 2 eyelids (9.0%) showed failure. Overall, 18 eyelids (90.9%) exhibited objectively satisfactory results (perfect or acceptable) at 6 months after surgery (Table 3). Conclusions: Modified graded full thickness eyelid blepharotomy is a reliable and safe method for upper eyelid lengthening for East Asian patients with upper eyelid retraction of TED that offers excellent functional and cosmetic results. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | LIPPINCOTT WILLIAMS & WILKINS | - |
dc.subject | LID RETRACTION | - |
dc.title | Modified Full Thickness Graded Blepharotomy for Upper Eyelid Retraction Associated With Thyroid Eye Disease in East Asians | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Lee, Joonsik | - |
dc.contributor.affiliatedAuthor | Lee, Hwa | - |
dc.contributor.affiliatedAuthor | Baek, Sehyun | - |
dc.identifier.doi | 10.1097/SAP.0000000000000656 | - |
dc.identifier.scopusid | 2-s2.0-84946594923 | - |
dc.identifier.wosid | 000388216500003 | - |
dc.identifier.bibliographicCitation | ANNALS OF PLASTIC SURGERY, v.77, no.6, pp.592 - 596 | - |
dc.relation.isPartOf | ANNALS OF PLASTIC SURGERY | - |
dc.citation.title | ANNALS OF PLASTIC SURGERY | - |
dc.citation.volume | 77 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 592 | - |
dc.citation.endPage | 596 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | LID RETRACTION | - |
dc.subject.keywordAuthor | modified graded blepharotomy | - |
dc.subject.keywordAuthor | thyroid eye disease | - |
dc.subject.keywordAuthor | upper lid retraction | - |
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