OBJECTIVETo compare the clinical effect of the double eyelid blepharoplasty with central minimal incision and with three minimal incisions. Methods: From Jul. 2010 to May 2012, 268 cases (Group A) received double eyelid blepharoplasty with central minimal incision, while 102 cases (Group B) underwent double eyelid blepharoplasty with three minimal incisions. Photos were taken immediately, and 1,2, 4, 8,12 weeks after operation. Operation time, recovery time and postoperative complications were evaluated and recorded. The operation time and recovery time were analyzed by Wilcoxon rank sum test. The postoperative complications were analyzed by chi square test. The satisfactory degree was analyzed by t test.

RESULTSThe operation time in Group A was (25.63 ± 3.74) min, compared with that (29.90 ± 4.13) min in Group B (Z = -8.011, P <0.01). Meanwhile, the recovery time in Group A was shorter than that in Group B (Z = -15.887, P <0.01). The occurrence rate of postoperative complications,including hematoma,recurrence and scar hyperplasia in Group A was also lower than that in Group B. At the same time, the satisfactory degree in Group A was(97.302 ± 1.764), which was higher than that(88.628 10.880) in Group B (t = 12.650, P <0.05).

CONCLUSIONSThe double eyelid blepharoplasty with central minimal incision, which is suitable for all cases except those who has serious blepharochalsais, has more advantages than double eyelid blepharoplasty with three minimal incisions.

Blepharoplasty ; adverse effects ; methods ; Cicatrix ; pathology ; Eyelids ; surgery ; Hematoma ; Humans ; Hyperplasia ; Photography ; Postoperative Complications ; Prospective Studies ; Recurrence

Objective:To discuss the clinical treatment methods of Kaposiform hemangioen-dothelioma (KHE).Methods:Eleven children with KHE admitted to the Union Hospital of Fujian Medical University from November 2009 to November 2015 were retrospectively analysed. Children aged from 5 days to 2 years old, 8 males and 3 females. In the treatment of cases 1-5, glucocorticoids and propranolol were routinely used for treatment regardless of the platelet count. The glucocorticoids was taken orally 4.0-4.5 mg/kg every other day, and the maximum daily dose of propranolol was 2 mg/kg given by three times a day. In the treatment of cases 6-11, the critical value of platelets number was 20×10 9/L. For those higher than the critical value, glucocorticoids and propranolol were routinely given. For those lower than the critical value, under the premise of taking glucocorticoids and propranolol, sirolimus was givenorally by the dose of 0.8 mg/m 2 twice a day. Two of the children had been treated with vincristine at a dose of 0.05 mg/m 2. The treatment effect was observed and followed up. Results:Followed up for three to eight years. Three of eleven cases did not get thrombocytopenia, and the effect of glucocorticoids combined with propranolol treatment was good. One case’s platelets number was 20×10 9/L. The tumor dissappered after treated with glucocorticoids combined with propranolo. Seven cases with platelets was lower than the critical value. Five in seven cases were treated with glucocorticoids, propranolol and sirolimus. The effect was good. One case, treated with glucocorticoids, propranolol and vincristine, died of cerebral hemorrhage. Another one case was lost to follow-up after treatment with glucocorticoids and propranolol. Conclusions:With the critical value of platelet criticality, patients above this value are routinely treated with glucocorticoid and propranolol first while those below this value are treated with sirolimus while taking glucocorticoids and propranolol. Through this method, better results can be achieved.

Objective:To discuss the clinical treatment methods of Kaposiform hemangioen-dothelioma (KHE).Methods:Eleven children with KHE admitted to the Union Hospital of Fujian Medical University from November 2009 to November 2015 were retrospectively analysed. Children aged from 5 days to 2 years old, 8 males and 3 females. In the treatment of cases 1-5, glucocorticoids and propranolol were routinely used for treatment regardless of the platelet count. The glucocorticoids was taken orally 4.0-4.5 mg/kg every other day, and the maximum daily dose of propranolol was 2 mg/kg given by three times a day. In the treatment of cases 6-11, the critical value of platelets number was 20×10 9/L. For those higher than the critical value, glucocorticoids and propranolol were routinely given. For those lower than the critical value, under the premise of taking glucocorticoids and propranolol, sirolimus was givenorally by the dose of 0.8 mg/m 2 twice a day. Two of the children had been treated with vincristine at a dose of 0.05 mg/m 2. The treatment effect was observed and followed up. Results:Followed up for three to eight years. Three of eleven cases did not get thrombocytopenia, and the effect of glucocorticoids combined with propranolol treatment was good. One case’s platelets number was 20×10 9/L. The tumor dissappered after treated with glucocorticoids combined with propranolo. Seven cases with platelets was lower than the critical value. Five in seven cases were treated with glucocorticoids, propranolol and sirolimus. The effect was good. One case, treated with glucocorticoids, propranolol and vincristine, died of cerebral hemorrhage. Another one case was lost to follow-up after treatment with glucocorticoids and propranolol. Conclusions:With the critical value of platelet criticality, patients above this value are routinely treated with glucocorticoid and propranolol first while those below this value are treated with sirolimus while taking glucocorticoids and propranolol. Through this method, better results can be achieved.

Objective To investigate a simple,minimally invasive and effective operative method for the facial rejuvenation in the upper eyelid and midface region.Methods Blepharoplasty was combined with suspending orbicularis oculi muscle flap and fixing it on the periosteum underneath the eyebrow through eyebrow incision.Meanwhile,for midface rejuvenation,inferior palpebral margin incision was performed and prezygomatic interspace was separated completely under the orbicularis oculi muscle.The under-eye puffiness and tear trough deformity were corrected through releasing orbital fat,reposition and fastening orbital septum,and transposition of orbicularis oculi muscle flap.And the deep sulci nasolabialis and cheek anetoderma were relieved by dual lifting of malar fat pad and orbicularis oculi muscle flap.Follow-up was taken at the 1 week,3 months,6 months,1 year,2years and 3 years after operation.Each case was evaluated with postoperative effect,reprocessing time and postoperative complications and underwent photography.Results From Feb.2010 to Oct.2014,190 patients (9 male,181 female,an average age of 49.03 ± 5.67 years) underwent this operation.Obvious improvement on the upper eyelid and midface region was achieved in all the patients after operation without serious or irreversible complication.Conclusions Combining eyebrow and inferior palpebral margin incision,through suspending the malar fat pad and orbicularis oculi muscle flap at the same time,as a simple,minimally invasive and reliable method,can strengthen the effect of the facial rejuvenation in the upper eyelid and midface region markedly.

Objective To investigate a simple,minimally invasive and effective operative method for the facial rejuvenation in the upper eyelid and midface region.Methods Blepharoplasty was combined with suspending orbicularis oculi muscle flap and fixing it on the periosteum underneath the eyebrow through eyebrow incision.Meanwhile,for midface rejuvenation,inferior palpebral margin incision was performed and prezygomatic interspace was separated completely under the orbicularis oculi muscle.The under-eye puffiness and tear trough deformity were corrected through releasing orbital fat,reposition and fastening orbital septum,and transposition of orbicularis oculi muscle flap.And the deep sulci nasolabialis and cheek anetoderma were relieved by dual lifting of malar fat pad and orbicularis oculi muscle flap.Follow-up was taken at the 1 week,3 months,6 months,1 year,2years and 3 years after operation.Each case was evaluated with postoperative effect,reprocessing time and postoperative complications and underwent photography.Results From Feb.2010 to Oct.2014,190 patients (9 male,181 female,an average age of 49.03 ± 5.67 years) underwent this operation.Obvious improvement on the upper eyelid and midface region was achieved in all the patients after operation without serious or irreversible complication.Conclusions Combining eyebrow and inferior palpebral margin incision,through suspending the malar fat pad and orbicularis oculi muscle flap at the same time,as a simple,minimally invasive and reliable method,can strengthen the effect of the facial rejuvenation in the upper eyelid and midface region markedly.