医学
疤痕
患者满意度
可视模拟标度
外科
回顾性队列研究
并发症
作者
Yun Zou,Li Hu,Mathias Tremp,Yunbo Jin,Hui Chen,Gang Ma,Xiaoxi Lin
出处
期刊:Annals of Plastic Surgery
[Ovid Technologies (Wolters Kluwer)]
日期:2018-12-01
卷期号:81 (6S): S71-S75
被引量:1
标识
DOI:10.1097/sap.0000000000001370
摘要
Purpose The aim of this study was to repair large periorbital cutaneous defects by an innovative technique called PEPSI (periorbital elevation and positioning with secret incisions) technique with functional and aesthetic outcomes. Methods In this retrospective study, unilateral periorbital cutaneous defects in 15 patients were repaired by the PEPSI technique. The ages of patients ranged from 3 to 46 years (average, 19 years). The outcome evaluations included scars (Vancouver Scar Scale and visual analog scale score), function and aesthetic appearance of eyelids, and patient satisfaction. The repair size was measured by the maximum advancement distance of skin flap during operation. Results All patients achieved an effective repair with a mean follow-up of 18.3 months. Except one with a small (approximately 0.3 cm 2 ) necrosis, all patients healed with no complication. The mean Vancouver Scar Scale and visual analog scale scores were 2.1 ± 1.7 and 8.5 ± 1.2, respectively. Ideal cosmetic and functional outcomes were achieved in 14 patients (93.3%). All patients achieved complete satisfaction except 1 patient with partial satisfaction. The mean maximum advancement distance of skin flap was 20.2 mm (range, 8–50 mm). Conclusions This study demonstrated that the PEPSI technique is an effective method to repair large periorbital cutaneous defects with acceptable functional and aesthetic outcomes.
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