Resecting orbicularis oculi muscle in upper eyelid blepharoplasty – A review of the literature

Blepharoplasty of the upper eyelids is one of the most commonly performed procedures in aesthetic plastic surgery. However, the rationale for muscle resection along with skin is uncertain. A PubMed search was performed using the following keywords: ‘blepharoplasty’ and ‘muscle’ as well as ‘blepharop...

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Vydáno v:	Journal of plastic, reconstructive & aesthetic surgery Ročník 63; číslo 5; s. 787 - 792
Hlavní autoři:	Hoorntje, Lidewij E., Lei, Berend van der, Stollenwerck, Guido A., Kon, Moshe
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	Kidlington Elsevier Ltd 01.05.2010 Elsevier
Témata:	Biological and medical sciences Blepharoplasty - methods Blepharoptosis - surgery History Humans Medical sciences Muscle Oculomotor Muscles - surgery Orbicularis oculi Plastic Surgery Review Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Treatment Outcome Upper blepharoplasty Orbicularis oculi Muscle Upper blepharoplasty Review History Plasty Treatment Surgery Orbicularis oculi muscle Upper blepharoptasty Case history Upper eyelid Bibliographic review
ISSN:	1748-6815, 1878-0539, 1878-0539
On-line přístup:	Získat plný text
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Popis
Shrnutí:	Blepharoplasty of the upper eyelids is one of the most commonly performed procedures in aesthetic plastic surgery. However, the rationale for muscle resection along with skin is uncertain. A PubMed search was performed using the following keywords: ‘blepharoplasty’ and ‘muscle’ as well as ‘blepharoplasty’ and ‘orbicularis’. This yielded 419 different hits. All abstracts from English, Dutch, German or French papers were scanned for potential relevance; of which 59 papers were retrieved. The papers were considered to be relevant for our review if they described their technique for upper blepharoplasty and if they mentioned whether or not they resected orbicularis oculi muscle. Papers describing blepharoplasty combined with other surgical interventions were not included unless specific remarks about the blepharoplasty and the role of orbicularis resection were made. Studies describing a surgical technique specifically designed to create an epicanthal fold in Asians were excluded as well. In total, 55 papers were included for review. Various reasons for muscle resection are described; most authors resect muscle without providing a reason to do so. In more recent literature, a trend towards muscle preservation is observed. A lack of consensus about what is to be done with the orbicularis oculi muscle in upper lid blepharoplasty is demonstrated. This amounts to a shortcoming, especially in training young plastic surgeons. Therefore, an algorithm is proposed.
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 ObjectType-Review-3 content type line 23
ISSN:	1748-6815 1878-0539 1878-0539
DOI:	10.1016/j.bjps.2009.02.069