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| Comparison of the effect and safety of double over and out orbicularis oculi muscle flap eye bag excision and four-step plastic surgery on the removal of eye bags |
| ZHANG Zheng1 ZHENG Botao2 LI Chao1▲ |
1.Department of Ophthalmology, Suzhou Jiulong Hospital, School of Medicine, Shanghai Jiao Tong University, Jiangsu Province, Suzhou 215000, China;
2.Department of Ophthalmology, Suzhou Industrial Park Xingtang Hospital, Jiangsu Province, Suzhou 215006, China |
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Abstract Objective To compare the effect and safety of double over and out orbicularis oculi muscle flap eye bag excision and four-step plastic surgery on the removal of eye bags. Methods A total of 89 patients admitted to Suzhou Jiulong Hospital, School of Medicine, Shanghai Jiao Tong University from September 2019 to August 2021 were going to receive cosmetic plastic surgery for eye bags, and they were selected and divided into the orbicularis oculi muscle flap group (48 cases with double over and out orbicularis oculi muscle flap eye bag excision) and the four-step plastic surgery group (41 cases with four-step plastic surgery) according to the ball-touching method. The time of ocular appearance return to normal, the effect of eye bag removal and the improvement of lacrimal furrow were compared between the two groups. The complications were recorded after one year of postoperative follow-up. Results There was no significant difference in the recovery time of ocular appearance between the two groups (P＞0.05). The removal of bags in orbicularis oculi muscle flap group was better than that in four-step plastic surgery group, and the difference was statistically significant (P＜0.05). After surgery, Barton grading in both groups was better than that before surgery, and that of orbicularis oculi muscle flap group was better than that of four-step plastic surgery group, the differences were statistically significant (P＜0.05). The incidence of complications orbicularis oculi muscle flap group was lower than that in four-step plastic surgery group, and the difference was statistically significant (P＜0.05). Conclusion Compared with the four-step plastic surgery, the double over and out orbicularis oculi muscle flap eye bag excision can improve the effect of removing bags, improve lacrimal furrow, and reduce the incidence of postoperative complications.
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