Scar formation after lower eyelid incision for reconstruction of the inferior orbital wall related to the lower eyelid crease or ridge in Asians

• DOI: 10.7181/acfs.2021.00521
• Publication Date: 2021-12-28T04:20:34Z
• Authors: Seong Jin Oh; Kwang Seog Kim; Jun Ho Choi; Jae Ha Hwang; Sam Yong Lee
• Keywords: Ectropion

Transcutaneous lower eyelid approaches are associated with a risk of postoperative scarring depending on the distance between incision line and margin. The crease Caucasians corresponds to ridge-shaped fold in young Asians. However, this relationship has not been sufficiently evaluated latter. authors, therefore, investigated location scar or ridge find optimal for line.This study included 60 out 139 patients who underwent inferior orbital wall reconstruction through skin July 2019 June 2020. According scar, were classified into three groups: group A ( ≥ 2 mm above ridge), B (within C below ridge). At 6 12 months after surgery, Patient Observer Scar Assessment Scale (POSAS) score was obtained, margin (DMS) margins peripheral pupil (DMPE) measured, occurrence ectropion evaluated.Group had lowest POSAS (A: 22.7 ± 8.0, B: 20.9 2.4, C: 32.5 4.1, p < 0.001). Linear regression analysis showed that DMS positively correlated (p 0.001) DMPE widening increased as decreased = 0.029). None ectropion.When using transcutaneous approach reconstruction, site is within ridge.