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مقاله
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Abstract
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Title:
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Upper Blepharoplasty and Lateral Wound Dehiscence
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Author(s):
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Mohsen Bahmani Kashkouli,
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Presentation Type:
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Oral
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Subject:
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Ophthalmic Plastic and Reconstructive Surgery
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Others:
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Presenting Author:
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Name:
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Mohsen Bahmani Kashkouli
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Affiliation :(optional)
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OPRS unit, Rassoul Akram Hospital, Iran University of Medical Sciences
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E mail:
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bahmanik@yahoo.com
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Phone:
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88090456
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Mobile:
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09121777003
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Purpose:
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Addressing the hooding during upper blepharoplasty (UB) may result in lateral wound dehiscence (LWD). The aim is to report the frequency of LWD, report the technique and results of a simple measure to prevent LWD, and compare its frequency after using this method.
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Methods:
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An audit of 2003-2009 UB procedure was performed.Subsequently, subjects were divided into two groups based on intra-operative assessment of lateral wound tension (Same technique and surgeon). Group 1 received 1-3 orbicularis/subcutaneous buried sutures (6-0 polyglactin) before interrupted 6-0 nylon skin closure. Group 2 just had skin closure. Minimum follow up wa 6 months.
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Results:
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There were 14 (14/678, 2%) cases with LWD with a mean age of 36.2 years in the audit (2003- 2009). Prospective study included 68 subjects (68/293, 23.2%) in the group 1 and 225 in the group 2. Two groups were not different with regard to the gender (P=0.3) and simultaneous forehead and eyebrow procedures (P=0.4). However, subjects in group 1 (mean age: 41.4 years) were significantly (P= 0.000) younger than group 2 (mean age: 56.1 years). Frequency of LWD significantly (P=0.04) decreased to 0.3% (1/293).
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Conclusion:
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In the presence of wound tension on skin closure, tension relieving buried suturing of the lateral UB incision could prevent LWD.
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Attachment:
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