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- 저자 : Hirohiko Kakizaki (검색결과 2 건)
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Late complications of nylon suture blepharoplasty causing ocular surface injury
Kazunami Noma,Yasuhiro Takahashi,Maria Suzanne Sabundayo,Hirohiko Kakizaki 대한미용의학회 2018 대한미용의학회지 Vol.2 No.1
Background: There are several known ocular complications of suture blepharoplasty which includes suture exposure, cyst formation, and surgical site infection. Objective: To present late complications of nylon suture blepharoplasty that causes damage to the ocular surface. Methods: Medical records of patients who developed ocular surface injury at least 1 year after nylon suture blepharoplasty were reviewed. Results: A total of 9 eyes (3 right and 6 left) of 9 patients (all females) were included in this study. All patients underwent trans-tarsal nylon suture blepharoplasty. The average age of the patients was 36.2 years (range: 22-64 years). The average interval between suture blepharoplasty and revision surgery was 9.6 years (range: 5-15 years). The mean follow-up period after revision surgery was 17 months (range: 7-48 months). Before revision surgery, all patients had reported ocular discomfort. Slit lamp examination revealed ocular surface injury caused by the presence of granulation tissue in the palpebral conjunctiva and deformity of the tarsal plate. Intraoperatively, suture exposure was absent in all but one eyelid. All of the symptoms completely disappeared postoperatively. Conclusion: Late complications of nylon suture blepharoplasty such as granulation tissue formation and tarsal plate deformity cause damage to the ocular surface. The trans-tarsal technique and hydrolytic denaturation of nylon sutures were considered as the main contributory factors leading to the mechanisms of ocular surface injury. Level of Evidence: Level IV, case series
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Jacqueline Mupas-Uy,Yoshiyuki Kitaguchi,Yasuhiro Takahashi,Hirohiko Kakizaki 대한미용의학회 2017 대한미용의학회지 Vol.1 No.1
Aging is a natural process where changes occur in multiple tissues, resulting in aesthetic and functional effects. Aging eyelids lead to a tired or sleepy appearance. Progressive changes continue throughout life; these may eventually affect the ocular surface and cause visual impairment. Objective is to report the pathophysiology of the common age-related eyelid disorders and the current management concepts. This article presents the pathophysiology and the surgical procedures of eyelid disorders, such as blepharoptosis, dermatochalasis, entropion, ectropion, baggy eyelids, epicanthus, and lateral canthal aging. In general, most agerelated eyelid changes are corrected due to its to its associated cosmetic and functional problems. Management is based on anatomic factors contributing to the eyelid disorder. Conclusion is the choice of surgical procedure is based on the exact localisation of the eyelid pathology.
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