Aesthetic assessment in periciliary "v-incision" versus conventional external dacryocystorhinostomy in Asians.

摘要: To determine the functional and aesthetic outcomes of periciliary “v-incision” external dacryocystorhinostomy (DCR) to compare with conventional approach. Charts review consecutive cases (VDCR) or DCR performed in a single institute, between January 2007 March 2014. All procedures were supervised by surgeon. Two incisions made near skin–mucosal junction at upper lower eyelid margins medial punctum joining canthal angle form “v” shape. Subcutaneous dissection was carried out inferomedially reach anterior lacrimal crest. then usual manner. Functional success defined as no persistent recurrent epiphora patency on irrigation drainage system least 6 months post-surgery. A cross-sectional survey conducted asking patients rate their scar appearance satisfaction visual analogue scale (VAS). External photographs graded two independent, masked physicians using VAS well Stony Brook evaluation (SBSES). Sixty-one median age 64 years met inclusion criteria, follow-up duration 28 months. Thirty-eight eyes underwent VDCR, 23 had DCR. The for VDCR 83.3, 95 % confidence intervals (95%CI) [lower 0.68, 0.92] 73.9 %, 95%CI 0.54, 0.87]; without statistically significant difference (p = 0.38). rated higher outcome (mean scores 95.5 ± 16.8 vs 82.9 ± 25.1, p = 0.03). On SBSES, both observers gave group (observer #1 4.6 ± 1.1 #2 4.7 ± 1.2, p < 0.01) than 3.1 ± 2.8 2.8 ± 2.1, p < 0.01). More reported that they could wear spectacles within 1 week post-VDCR (44.7 4.3 %, “V-incision” has similar approach superior surgeons patients. However, proportion trainees under supervision DCR, it is uncertain whether also influenced level surgeon’s expertise.