title: Small-incision orbicularis-levator fixation technique: a modified double-eyelid blepharoplasty for treating trichiasis in young Asian patients.
abstract: Upper-eyelid trichiasis often occurs with a single puffy eyelid or shallow eyelid crease in young Asian patients. This study presents a novel modified trichiasis correction method to simultaneously treat trichiasis and create a natural eyelid crease. It combines the modified small-incision debulking procedure and the orbicularis-levator fixation technique. The eyelash lift angle (LA), body curl angle (BCA) and end curl angle (ECA) were quantitatively analysed. A total of 90 patients (152 trichiasis eyelids) were followed up for approximately 22 months. The LA changed from 24.32° ± 9.21°-54.12° ± 10.32° in the nasal section of the eyelid (section 1), from 21.03° ± 11.34°-52.03° ± 10.56° in the middle section of the eyelid (section 2) and from 23.31° ± 8.12°-63.15° ± 8.43° in the temporal section of the eyelid (section 3). All patients were satisfied with the eyelid-fold appearance. In conclusion, for young Asian patients with upper-eyelid trichiasis, the small-incision orbicularis-levator fixation technique is able to acquire a stable up-curved position of the eyelashes and satisfactory aesthetic results.
authors.affiliation: Division of Ophthalmic Plastic Surgery, Department of Ophthalmology, Tongji Hospital, Affiliated to Tongji University School of Medicine, Shanghai, People's Republic of China. biyanlong@tongji.edu.cn
authors.forename: Y L
authors.initials: YL
authors.lastname: Bi
authors.forename: Q
authors.initials: Q
authors.lastname: Zhou
authors.forename: X S
authors.initials: XS
authors.lastname: Hu
authors.forename: W
authors.initials: W
authors.lastname: Xu
mesh_terms: D000273:Adipose Tissue / Q000601:surgery; D000293:Adolescent; D000328:Adult; D044466:Asian People; D019882:Blepharoplasty / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009801:Oculomotor Muscles / Q000601:surgery*; D012189:Retrospective Studies; D058457:Trichiasis / Q000601:surgery*; D055815:Young Adult