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Told, Reinhard; Placheta-Györi, Eva; Lackner, Birgit; Kuchar, Andreas; Brugger, Jonas; Schmidt-Erfurth, Ursula; Dunavölgyi, Roman

FACE-Q Patient Report-Assisted Subjective and Objective Evaluation of Blepharoplasty Outcomes Using Two Different Suturing Techniques: A Randomized and Patient-Blinded Pilot Study

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  • Medientyp: E-Artikel
  • Titel: FACE-Q Patient Report-Assisted Subjective and Objective Evaluation of Blepharoplasty Outcomes Using Two Different Suturing Techniques: A Randomized and Patient-Blinded Pilot Study
  • Beteiligte: Told, Reinhard; Placheta-Györi, Eva; Lackner, Birgit; Kuchar, Andreas; Brugger, Jonas; Schmidt-Erfurth, Ursula; Dunavölgyi, Roman
  • Erschienen: Springer Science and Business Media LLC, 2023
  • Erschienen in: Aesthetic Plastic Surgery
  • Sprache: Englisch
  • DOI: 10.1007/s00266-023-03339-6
  • ISSN: 1432-5241; 0364-216X
  • Schlagwörter: Surgery
  • Entstehung:
  • Anmerkungen:
  • Beschreibung: <jats:title>Abstract</jats:title><jats:sec> <jats:title>Background</jats:title> <jats:p>/Objectives</jats:p> <jats:p>To compare two suturing techniques in patients undergoing upper eyelid blepharoplasty by using the FACE-Q™ Eye Module questionnaire to assess patient-reported outcomes and by blinded Likert-scale gradings of two experienced surgeons.</jats:p> </jats:sec><jats:sec> <jats:title>Methods</jats:title> <jats:p>90 patients undergoing bilateral blepharoplasty were randomly assigned to a suturing technique (running cutaneous or subcuticular closure) using Prolene 6.0. Patients completed the FACE-Q eye module questionnaire before surgery and 7 days and 3 months after surgery. Further, two trained oculoplastic surgeons assessed the outcome. FACE-Q ratings were RASCH-transformed, and linear models were fitted for appraisal and satisfaction results. Intraclass correlation coefficient (ICC) was calculated to assess the surgeons’ rating agreement.</jats:p> </jats:sec><jats:sec> <jats:title>Results</jats:title> <jats:p>There was no statistically significantly difference in patients’ FACE-Q self-assessments regarding satisfaction with eyes and appraisal of upper eyelids between the two suturing techniques investigated, both 7 days and 3 months after blepharoplasty. The more content the patient at baseline, the less the increase in satisfaction after 3 months. There was good agreement between blinded graders in outcome assessment expressed by an ICC of 0.86. Dry-eye symptoms increased after surgery, independent of the suturing technique, patient age or sex.</jats:p> </jats:sec><jats:sec> <jats:title>Conclusion</jats:title> <jats:p>In conclusion, this study shows that post operative patient satisfaction is independent of suturing technique, but depends on baseline FACE-Q reports. These findings are valuable in patient communication and selection and are in line with observer-based assessments.</jats:p> </jats:sec><jats:sec> <jats:title>Level of Evidence III</jats:title> <jats:p>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors <jats:ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="uri" xlink:href="http://www.springer.com/00266">http://www.springer.com/00266</jats:ext-link>.</jats:p> </jats:sec>