Eyelid Crease Height Affects the Evaluation of Age-related Changes in the Eyelids
Background:. Although the functional and anatomical differences between the left and right eyelids are important in the evaluation of age-related changes in the eyelids, they have not been described clearly as indications for surgical treatments. This study aimed to investigate how laterality of the...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2021-11-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003909 |
| _version_ | 1818721394536480768 |
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| author | Shinsuke Akita, MD, PhD Satoshi Maki, MD, PhD Yuki Shiko, MS Yohei Kawasaki, PhD Yoshihisa Yamaji, MD, PhD Hideki Tokumoto, MD, PhD Kentaro Kosaka, MD, PhD Hideyuki Ogata, MD Yoshitaka Kubota, MD, PhD Nobuyuki Mitsukawa, MD, PhD |
| author_facet | Shinsuke Akita, MD, PhD Satoshi Maki, MD, PhD Yuki Shiko, MS Yohei Kawasaki, PhD Yoshihisa Yamaji, MD, PhD Hideki Tokumoto, MD, PhD Kentaro Kosaka, MD, PhD Hideyuki Ogata, MD Yoshitaka Kubota, MD, PhD Nobuyuki Mitsukawa, MD, PhD |
| author_sort | Shinsuke Akita, MD, PhD |
| collection | DOAJ |
| description | Background:. Although the functional and anatomical differences between the left and right eyelids are important in the evaluation of age-related changes in the eyelids, they have not been described clearly as indications for surgical treatments. This study aimed to investigate how laterality of the eyelids affects evaluation of age-related changes.
Methods:. Photographs of either one or both eyelids of 100 people were evaluated in four stages by 10 plastic surgeons. To investigate the consistency of the results between evaluations, surgeons evaluated the single-eyelid photographs (group U) or two-eyelid photographs (group B). It was investigated whether the difference in margin reflex distance 1, height of the upper eyelid crease, height of eyebrow, and levator contractile function were associated with mismatched evaluations.
Results:. The weighted kappa coefficient for groups B and U was 0.77 (substantial agreement). One-point difference in scores was observed in 23 cases. In the multiple logistic regression analysis, only the laterality the height of the eyelid crease was significantly different between patients whose evaluations were matched and those whose evaluations were mismatched (0.9 ± 0.1 mm versus 1.7 ± 0.2 mm; OR = 1.06, 95%CI: 1.01–1.10; P = 0.01).
Conclusions:. Besides the structure and function of each eyelid, the laterality of the height of the eyelid crease was important in the evaluation of the age-related changes in the eyelids. This factor may be important in evaluating the aesthetic and visual impressions of age-related changes in the eyelids. |
| first_indexed | 2024-12-17T20:38:02Z |
| format | Article |
| id | doaj.art-73de00d0d30f4b25961d27d6b65000b5 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-17T20:38:02Z |
| publishDate | 2021-11-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-73de00d0d30f4b25961d27d6b65000b52022-12-21T21:33:23ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742021-11-01911e390910.1097/GOX.0000000000003909202111000-00012Eyelid Crease Height Affects the Evaluation of Age-related Changes in the EyelidsShinsuke Akita, MD, PhD0Satoshi Maki, MD, PhD1Yuki Shiko, MS2Yohei Kawasaki, PhD3Yoshihisa Yamaji, MD, PhD4Hideki Tokumoto, MD, PhD5Kentaro Kosaka, MD, PhD6Hideyuki Ogata, MD7Yoshitaka Kubota, MD, PhD8Nobuyuki Mitsukawa, MD, PhD9From the * Department of Plastic, Reconstructive, and Aesthetic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan† Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan‡ Biostatistics Section, Clinical Research Center, Chiba University Hospital, Chiba, Japan‡ Biostatistics Section, Clinical Research Center, Chiba University Hospital, Chiba, Japan§ Department of Plastic, Reconstructive, and Aesthetic Surgery, Japan Red Cross Maebashi Hospital, Maebashi, Japan¶ Department of Plastic and Reconstructive Surgery, Chiba Cancer Center Hospital, Chiba, Japan.From the * Department of Plastic, Reconstructive, and Aesthetic Surgery, Graduate School of Medicine, Chiba University, Chiba, JapanFrom the * Department of Plastic, Reconstructive, and Aesthetic Surgery, Graduate School of Medicine, Chiba University, Chiba, JapanFrom the * Department of Plastic, Reconstructive, and Aesthetic Surgery, Graduate School of Medicine, Chiba University, Chiba, JapanFrom the * Department of Plastic, Reconstructive, and Aesthetic Surgery, Graduate School of Medicine, Chiba University, Chiba, JapanBackground:. Although the functional and anatomical differences between the left and right eyelids are important in the evaluation of age-related changes in the eyelids, they have not been described clearly as indications for surgical treatments. This study aimed to investigate how laterality of the eyelids affects evaluation of age-related changes. Methods:. Photographs of either one or both eyelids of 100 people were evaluated in four stages by 10 plastic surgeons. To investigate the consistency of the results between evaluations, surgeons evaluated the single-eyelid photographs (group U) or two-eyelid photographs (group B). It was investigated whether the difference in margin reflex distance 1, height of the upper eyelid crease, height of eyebrow, and levator contractile function were associated with mismatched evaluations. Results:. The weighted kappa coefficient for groups B and U was 0.77 (substantial agreement). One-point difference in scores was observed in 23 cases. In the multiple logistic regression analysis, only the laterality the height of the eyelid crease was significantly different between patients whose evaluations were matched and those whose evaluations were mismatched (0.9 ± 0.1 mm versus 1.7 ± 0.2 mm; OR = 1.06, 95%CI: 1.01–1.10; P = 0.01). Conclusions:. Besides the structure and function of each eyelid, the laterality of the height of the eyelid crease was important in the evaluation of the age-related changes in the eyelids. This factor may be important in evaluating the aesthetic and visual impressions of age-related changes in the eyelids.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003909 |
| spellingShingle | Shinsuke Akita, MD, PhD Satoshi Maki, MD, PhD Yuki Shiko, MS Yohei Kawasaki, PhD Yoshihisa Yamaji, MD, PhD Hideki Tokumoto, MD, PhD Kentaro Kosaka, MD, PhD Hideyuki Ogata, MD Yoshitaka Kubota, MD, PhD Nobuyuki Mitsukawa, MD, PhD Eyelid Crease Height Affects the Evaluation of Age-related Changes in the Eyelids Plastic and Reconstructive Surgery, Global Open |
| title | Eyelid Crease Height Affects the Evaluation of Age-related Changes in the Eyelids |
| title_full | Eyelid Crease Height Affects the Evaluation of Age-related Changes in the Eyelids |
| title_fullStr | Eyelid Crease Height Affects the Evaluation of Age-related Changes in the Eyelids |
| title_full_unstemmed | Eyelid Crease Height Affects the Evaluation of Age-related Changes in the Eyelids |
| title_short | Eyelid Crease Height Affects the Evaluation of Age-related Changes in the Eyelids |
| title_sort | eyelid crease height affects the evaluation of age related changes in the eyelids |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003909 |
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