Dermatoşalazisli hastalarda üst kapak blefaroplasti cerrahisinin baş ağrısı üzerine etkisi

Year 2020, Volume: 45 Issue: 1, 107 - 113, 31.03.2020

Meryem Altın Ekin

https://doi.org/10.17826/cumj.628871

Abstract

Amaç: Bu çalışmanın amacı dermatoşalazis hastalarına uygulanan blefaroplasti operasyonunun baş ağrısı semptomları üzerine olan etkisini araştırmaktır.
Gereç ve Yöntem: Kliniğimizde Aralık 2018 ve Mayıs 2019 tarihleri arasında oküloplastik cerrahi planlanan hastalar prospektif olarak incelendi. Dermatoşalazis nedeniyle blefaroplasti operasyonu uygulanan hastalar blefaroplasti grubunu diğer oküloplastik cerrahi uygulananlar ise kontrol grubunu oluşturdu. En az 1 yıl süreyle baş ağrısı olan hastalar operasyon öncesi ve operasyon sonrası üçüncü ayda baş ağrısı etki testi (Head Impact Test, HIT-6) ile değerlendirildi. Tüm dermatoşalazisli hastaların blefaroplasti operasyonu öncesi ve sonrası marjin refleks mesafesi ölçüldü.
Bulgular: Her iki grup arasında preoperatif HIT-6 skorları açısından anlamlı fark izlenmedi (p=0.624). Blefaroplasti grubunun postoperatif HIT-6 skoru kontrol grubunun postoperatif HIT-6 skorundan istatistiksel olarak anlamlı derecede daha düşüktü. Marjin refleks mesafesi < 2 mm olan hastaların %74.1’inde, 2-3 mm olanların %62.5’inde ve ≥ 4 mm olanların %22.2’sinde blefaroplasti sonrası HIT-6 skorlarında azalma saptandı. Marjin refleks mesafesinin değişimi ile HIT-6 skorundaki değişim arasında istatistiksel olarak anlamlı derecede negatif korelasyon izlendi.
Sonuç: Dermatoşalazisi olan hastalarda blefaroplasti operasyonu sonrası baş ağrısı semptomlarında anlamlı derecede düzelme görülmektedir. Marjin refleks mesafesi kısa olan dermatoşalazisli hastalarda baş ağrısı semptomları blefaroplasti için fonksiyonel bir endikasyon olabilir.

Keywords

baş ağrısı, baş ağrısı etki testi, blefaroplasti, dermatoşalazis, marjin refleks mesafesi

Effect of upper eyelid blepharoplasty surgery on headache in patients with dermatochalasis

Abstract

Purpose: The aim of this study was to investigate the effect of blepharoplasty surgery on headache symptoms in patients with dermatochalasis.
Materials and Methods: Patients who underwent oculoplastic surgery between December 2018 and May 2019 were prospectively evaluated. Patiens who underwent blepharoplasty for dermatochalasis constituted blepharoplasty group whereas patients who underwent other oculoplastic surgeries constituted control group. Patients with headache for one year were evaluated by Head Impact Test-6 (HIT-6) before and after 3 months of surgery. Margin reflex distance was measured in all patients with dermatochalasis after blepharoplasty surgery.
Results: There were no differences between groups in terms of preoperative HIT-6 scores (p=0.624). Postoperative HIT-6 score of blepharoplasty group was significantly lower than postoperative HIT-6 score of control group. 74.1% of patients with margin reflex distance < 2mm, 62.5% of patients with margin reflex distance 2-3 mm and 22.2% of patients with margin reflex distance ≥ 4 mm had decrease in their HIT-6 scores following blepharoplasty. There was a negative correlation between change in margin reflex distance and HIT-6 score.
Conclusion: Significant improvement was observed in headache symptoms in patients with dermatochalasis following blepharoplasty. Headache could be a functional indication for blepharoplasy in patients with dermatochalasis and short margin reflex distance.

Keywords

blepharoplasty, dermatochalasis, headache, headache impact test, margin reflex distance

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