الفهرس | Only 14 pages are availabe for public view |
Abstract Purpose: It is to compare the surgical outcome, the patient satisfaction and the aesthetic outcome between anterior lamellar recession only and anterior lamellar recession with blepharoplasty in the treatment of upper eyelid cicatricial entropion. Patients and methods: This study included a total of 44 eyelids of 30 patients divided randomly into two groups. group A: 22 eyelids of 15 patients had an anterior lamellar recession technique (ALR). group B: 22 eyelids of 15 patients had an anterior lamellar recession with blepharoplasty. Main outcomes are the surgical results, the patient satisfaction and the aesthetic outcome. Results: At the end of 6 months follow up, success rate of group A was 81.8% (72.7% had complete success while 9.1% had partial success), and failure was 18.2%, while it was 100% (95.5% had complete success while 4.5% had partial success), with no failure reported in group B.The aesthetic outcome was fair in 31.8% and poor in 68.2% in group A, while it was good in 77.3% and fair in 22.7% in group B. There was a highly significant statistical difference between the two groups (P=0.001*). Patient satisfaction was 72.7% (45.5% were satisfied while 27.3% were partially satisfied) and 27.3% were dissatisfied in group A, while it was 95.4% (90.9% were satisfied while 4.5% were partially satisfied) and 4.5% were dissatisfied in group B. There was a highly significant statistical difference between the two groups (P=0.005*) |