FACTORS ASSOCIATED WITH THE EFFECTIVENESS OF THE Y-V TECHNIQUE IN EYELID RECONSTRUCTIVE SUGERY
Main Article Content
Abstract
Objective: To analyze factors associated with the effectiveness of the Y-V advancement technique in medial canthoplasty for the correction of epicanthal folds combined with other eyelid abnormalities.
Subjects and methods: A prospective interventional study without a control group was conducted on 31 patients (62 eyes). All patients underwent medial canthoplasty using the Y-V advancement technique to correct epicanthal folds, in combination with surgical management of associated eyelid abnormalities, including ptosis, entropion, asymmetric eyelid crease, or absent eyelid crease. Patients were followed up and evaluated 3 months postoperatively.
Results: After 3 months of follow-up, 83.9% of eyes achieved good outcomes and 16.1% achieved fair outcomes. Surgical outcomes were significantly associated with age group, severity of the epicanthal fold, and intercanthal distance. The presence of concomitant ptosis did not significantly affect surgical results.
Conclusions: Medial canthoplasty using the Y-V advancement technique is a safe and effective procedure, providing significant functional and aesthetic improvement in the management of epicanthal folds, with or without associated eyelid abnormalities.
Article Details
Keywords
Epicanthal fold, eyelid abnormalities, Y-V advancement technique, blepharoplasty.
References
[2] Dawson E.L.M, Hardy T.G, Collin J.R.O, Lee J.P. The incidence of strabismus and refractive error in patients with blepharophimosis, ptosis and epicanthus inversus syndrome (BPES). Strabismus, 2003, 11 (3): 173-177. doi: 10.1076/stra.11.3.173.16645
[3] Lee Y.J, Baek R.M, Song Y.T, Chung W.J, Lee J.H. Periciliary Y-V epicanthoplasty. Ann Plastic Surgery, 2006, 56 (3): 274-278. doi: 10.1097/01.sap.0000200851.50023.30
[4] Lee T.Y, Shin Y.H et al. Reconstruction of medial epicanthal fold using V-Y advancement and turnover flap. Journal of Plastic, Reconstructive & Aesthetic Surgery, 2020, 73 (2): 363-368. doi: 10.1016/j.bjps.2019.07.013
[5] Kim Y.C, Kwon J.G, Kim S.C et al. Comparison of periorbital anthropometry between beauty pageant contestants and ordinary young women with Korean ethnicity: a three-dimensional photogrammetric analysis. Aesth Plast Surg, 2018, 42 (2): 479-490. doi: 10.1007/s00266-017-1040-7
[6] Bouhadana G, Gornitsky J, Saleh E, Oliveira Trabelsi N, Borsuk D.E. Expanding the classic facial canons: quantifying intercanthal distance in a diverse patient population. Plastic and Reconstructive Surgery - Global Open, 2022, 10 (4): e4268. doi: 10.1097/GOX.0000000000004268
[7] Taylor A, Strike P.W, Tyers A.G. Blepharophimosis-ptosis-epicanthus inversus syndrome: objective analysis of surgical outcome in patients from a single unit. Clinical & Experimental Ophthalmology, 2007, 35 (3): 262-269. doi: 10.1111/j.1442-9071.2006.01448.x
[8] Mustardé J.C. Epicanthus and telecanthus. British Journal of Plastic Surgery, 1963, 16: 346-356. doi: 10.1016/S0007-1226(63)80139-3
[9] Kakizaki H, Ichinose A, Nakano T, Asamoto K, Ikeda H. Anatomy of the epicanthal fold. Plastic & Reconstructive Surgery, 2012, 130 (3): 494e-495e. doi: 10.1097/PRS.0b013e31825dc611
[10] Sebastiá R, Herzog Neto G, Fallico E, Lessa S, Solari H.P, Ventura M.P. A one-stage correction of the blepharophimosis syndrome using a standard combination of surgical techniques. Aesth Plast Surg, 2011, 35 (5): 820-827. doi: 10.1007/s00266-011-9702-3