Radiofrequency versus scalpel incision for upper blepharoplasty: a clinicopathologic and photo documentation comparison
Abstract Objective: The aim of this study is to compare scar appearance and the histopathological aspects of inflammatory response induced by the use of radiofrequency [RF] incision and a cold-blade scalpel incision in upper blepharoplasty surgery. Methods: This is a comparative, prospective, doub...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Oftalmologia
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| Series: | Revista Brasileira de Oftalmologia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802020000200122&lng=en&tlng=en |
| _version_ | 1818454234406846464 |
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| author | Juliana Senna Figueiredo Barbi Leonardo Diniz Rodrigo Otávio do Espírito Santo Ícaro Perez Soares Magda Carvalho Pires |
| author_facet | Juliana Senna Figueiredo Barbi Leonardo Diniz Rodrigo Otávio do Espírito Santo Ícaro Perez Soares Magda Carvalho Pires |
| author_sort | Juliana Senna Figueiredo Barbi |
| collection | DOAJ |
| description | Abstract Objective: The aim of this study is to compare scar appearance and the histopathological aspects of inflammatory response induced by the use of radiofrequency [RF] incision and a cold-blade scalpel incision in upper blepharoplasty surgery. Methods: This is a comparative, prospective, double-blind study that recruited 10 Caucasian patients from Oculoplastic Sector of Ophthalmological Center of Minas Gerais (Belo Horizonte, MG, Brazil) aged 60–70 years, Fitzpatrick skin types 3 and 4, with upper eyelid dermatochalasis and indication for upper blepharoplasty. These patients underwent upper blepharoplasty using RF incision in one eyelid (10 eyelids in total) and cold-blade incision in the contralateral eyelid (10 eyelids in total). The two techniques were compared for clinical scar appearance and histopathology of the excised tissue materials (i.e., upper eyelid skin). To evaluate clinical scar appearance, we employed two distinct methods: photo-documentation and statistical analysis of the assessment performed by two masked observers (oculoplastic specialists) that examined all patients during all the follow-up based on Vancouver scar scale criteria, which includes attributes related to scar’s vascularization, thickness, pigmentation, and elasticity. Follow-up was performed on days 30, 60, and 180 after surgery. After the follow-up period, the collected data were statistically analyzed by using the Wilcoxon signed-rank test. Results: The eyelids incised with a scalpel displayed thicker scars (hypertrophic scars), which differed significantly only in the first month after surgery (p = 0.022). The two surgical techniques did not show statistically significant difference in vascularity, elasticity, or pigmentation of the scar during the follow up period (sixth postoperative month). Regarding the histopathological evaluation, the excised skin fragments exhibited the same patterns, except the cautery effect that was observed at the edges of the skin excised with RF, which showed 0.20–0.30-mm thick thermal damage. Conclusion: The two techniques did not show statistically significant difference in terms of scar appearance after the sixth postoperative month. |
| first_indexed | 2024-12-14T21:51:38Z |
| format | Article |
| id | doaj.art-b3923d775cd24785a4ffe92745bc589a |
| institution | Directory Open Access Journal |
| issn | 0034-7280 1982-8551 |
| language | English |
| last_indexed | 2024-12-14T21:51:38Z |
| publisher | Sociedade Brasileira de Oftalmologia |
| record_format | Article |
| series | Revista Brasileira de Oftalmologia |
| spelling | doaj.art-b3923d775cd24785a4ffe92745bc589a2022-12-21T22:46:14ZengSociedade Brasileira de OftalmologiaRevista Brasileira de Oftalmologia0034-72801982-855179212212710.5935/0034-7280.20200026S0034-72802020000200122Radiofrequency versus scalpel incision for upper blepharoplasty: a clinicopathologic and photo documentation comparisonJuliana Senna Figueiredo BarbiLeonardo DinizRodrigo Otávio do Espírito SantoÍcaro Perez SoaresMagda Carvalho PiresAbstract Objective: The aim of this study is to compare scar appearance and the histopathological aspects of inflammatory response induced by the use of radiofrequency [RF] incision and a cold-blade scalpel incision in upper blepharoplasty surgery. Methods: This is a comparative, prospective, double-blind study that recruited 10 Caucasian patients from Oculoplastic Sector of Ophthalmological Center of Minas Gerais (Belo Horizonte, MG, Brazil) aged 60–70 years, Fitzpatrick skin types 3 and 4, with upper eyelid dermatochalasis and indication for upper blepharoplasty. These patients underwent upper blepharoplasty using RF incision in one eyelid (10 eyelids in total) and cold-blade incision in the contralateral eyelid (10 eyelids in total). The two techniques were compared for clinical scar appearance and histopathology of the excised tissue materials (i.e., upper eyelid skin). To evaluate clinical scar appearance, we employed two distinct methods: photo-documentation and statistical analysis of the assessment performed by two masked observers (oculoplastic specialists) that examined all patients during all the follow-up based on Vancouver scar scale criteria, which includes attributes related to scar’s vascularization, thickness, pigmentation, and elasticity. Follow-up was performed on days 30, 60, and 180 after surgery. After the follow-up period, the collected data were statistically analyzed by using the Wilcoxon signed-rank test. Results: The eyelids incised with a scalpel displayed thicker scars (hypertrophic scars), which differed significantly only in the first month after surgery (p = 0.022). The two surgical techniques did not show statistically significant difference in vascularity, elasticity, or pigmentation of the scar during the follow up period (sixth postoperative month). Regarding the histopathological evaluation, the excised skin fragments exhibited the same patterns, except the cautery effect that was observed at the edges of the skin excised with RF, which showed 0.20–0.30-mm thick thermal damage. Conclusion: The two techniques did not show statistically significant difference in terms of scar appearance after the sixth postoperative month.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802020000200122&lng=en&tlng=enblepharoplastyeyelidscicatrixradiofrequency |
| spellingShingle | Juliana Senna Figueiredo Barbi Leonardo Diniz Rodrigo Otávio do Espírito Santo Ícaro Perez Soares Magda Carvalho Pires Radiofrequency versus scalpel incision for upper blepharoplasty: a clinicopathologic and photo documentation comparison Revista Brasileira de Oftalmologia blepharoplasty eyelids cicatrix radiofrequency |
| title | Radiofrequency versus scalpel incision for upper blepharoplasty: a clinicopathologic and photo documentation comparison |
| title_full | Radiofrequency versus scalpel incision for upper blepharoplasty: a clinicopathologic and photo documentation comparison |
| title_fullStr | Radiofrequency versus scalpel incision for upper blepharoplasty: a clinicopathologic and photo documentation comparison |
| title_full_unstemmed | Radiofrequency versus scalpel incision for upper blepharoplasty: a clinicopathologic and photo documentation comparison |
| title_short | Radiofrequency versus scalpel incision for upper blepharoplasty: a clinicopathologic and photo documentation comparison |
| title_sort | radiofrequency versus scalpel incision for upper blepharoplasty a clinicopathologic and photo documentation comparison |
| topic | blepharoplasty eyelids cicatrix radiofrequency |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802020000200122&lng=en&tlng=en |
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