A comparative retrospective analysis: myocutaneous flap versus skin flap in V-Y medial epicanthal fold reconstruction.
Front Surg
; 11: 1335796, 2024.
Article
en En
| MEDLINE
| ID: mdl-38486795
ABSTRACT
Objectives:
To evaluate the comparation of myocutaneous flap vs. skin flap in V-Y medial epicanthal fold reconstruction.Methods:
The study, conducted from April 2017 to June 2022, involved two groups group A, comprising 21 patients who underwent medial epicanthal fold restoration surgery using the V-Y advancement method with a skin flap, and group B, comprising 83 patients who underwent the same procedure, while with a myocutaneous flap for orbicularis oculi ring reconstruction. Intercanthal distances were measured preoperatively, recorded during preoperative and postoperative reviews, and assessed through a 4-point Likert satisfaction questionnaire.Results:
A total of 104 patients were followed up for 6 months postoperatively. In group A, preoperative intercanthal distances ranged from 28.7â mm to 38.2â mm, increasing to 30.2â mm-40.6â mm postoperatively, with a mean increase of 3.0â mm (P < 0.05). In group B, preoperative distances ranged from 28.8â mm to 38.0â mm, increasing to 32.2â mm-41.5â mm postoperatively, with a mean increase of 3.9â mm (P < 0.05). Group B exhibited a higher overall satisfaction rate compared to group A.Conclusion:
The myocutaneous flap V-Y procedure, employing the principle of orbicularis oculi ring reconstruction, achieves more stable postoperative results than the flap-only V-Y procedure. Consequently, it can be regarded as the preferred surgical technique.
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MEDLINE
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En
Revista:
Front Surg
Año:
2024
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Article