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Dermatoşalazisli hastalarda üst kapak blefaroplasti cerrahisinin baş ağrısı üzerine etkisi

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

References

  • 1. Damasceno RW, Avgitidou G, Belfort R Jr, Dantas PE, Holbach LM, Heindl LM. Eyelid aging: pathophysiology and clinical management. Arq Bras Oftalmol. 2015;78(5):328-31.
  • 2. Hacker HD, Hollsten DA. Investigation of automated perimetry in the evaluation of patients for upper lid blepharoplsty. Ophthalmic Plastic Reconstr Surg. 1992;8(4): 250-5.
  • 3. Rogers SA, Khan-Lim D, Manners RM. Does upper lid blepharoplasty improve contrast sensitivity? Ophthalmic Plast Reconstr Surg. 2012;28(3):163-5.
  • 4. Hollander MHJ, Contini M, Pott JW, Vissink A, Schepers RH, Jansma J. Functional outcomes of upper eyelid blepharopalsty: A systematic review.J Plast Reconstr Surg. 2019;72(2):294-309.
  • 5. Bahceci Simsek I. Association of upper eyelid ptosis repair and blepharopalstywith headcahe-related quality of life. JAMA Facial Plast Surg. 2017;19(4):293-7.
  • 6. Mokhtarzadeh A, McClelland C, Lee MS, Smith S, Harrison AR. The bleph and the brain: The effect of upper eyelid surgery on chronic headaches. Ophthalmic Plast Reconstr Surg. 2017;33(3):178-81.
  • 7. Kosinski M, Bayliss MS, Bjorner JB, Ware JE Jr, Garber WH, Batenhorst A, et al. A six-item short-form survey for measuring headache impact: the HIT-6. Qual Life Res. 2003;12(8):963–74.
  • 8. Simsek IB, Yilmaz B, Yildiz S, Artunay O. Effect of upper eyelid blepharoplasty on vision and corneal tomographic changes measured by Pentacam. Orbit. 2015;34(5):263-7.
  • 9. Mier RW, Dhadwal S. Primary headaches. Dent Clin North Am 2018;62(4):611-28.
  • 10. Rendes-Baum R, Yang M, Varon SF, Bloudek LM, DeGryse RE, Kosinski M. Validation of the Headache Impact Test (HIT-6) in patients with chronic migraine. Health Qual Life Outcomes. 2014;12:117.
  • 11. Papadopulos NA, Hodbod M, Henrich G, Kovacs L, Papadopoulos O, Herschbach P, et al. The effect of blepharoplasty on our patient’s quality of life, emotional stability, and self-esteem. J Craniofac Surg. 2019;30(2):377-83.
  • 12. Jacobsen AG, Brost B, Vorum H, Hargitai J. Functional benefits and patients satisfaction with upper blepharoplasty - evalauted by objective ans subjective outcome measures. Acta Ophthalmol. 2017;95(8):820-5.
  • 13. Briceno CA, Fuller ML, Bradley EA, Nelson CC. Assessment of the Abbreviated National Eye Institute Visual Function Questionnaire (NEI VFQ 9) in blepharoptosis and dermatochalasis. Arq Bras Oftalmol. 2016;79(4):226-8.
  • 14. Sharma TL. Common primary and secondary causes of headache in the elderly. Headache. 2018;58(3):479-84.
  • 15. Ljubisavljevic S, Zidverc Trajkovic J. Cluster headache: pathophysiology, diagnosis and treatment. J Neurol. 2019;266(5):1059-66.
  • 16. De Rua JA, Buwalda J. Botulinum toxin A injection into corrugator muscle for frontally localised chronic daily headache or chronic tension-type headache. J Laryngol Otol. 2009;123(4):412-7.
  • 17. Guyuron B, Tucker T, Davis J. Surgical treatment of migraine headaches. Plast Reconstr Surg. 2002;109(7):2183-9.
  • 18. Bearden WH, Anderson RL. Corrugator superciliaris muscle excision for tension and migraine headaches. Ophthalmic Plast Reconstr Surg. 2005;21(6):418-22.
  • 19. Matsuo K, Ban R. Surgical desensitization of the mechanoreceptors in Müller’s muscle relieves chronic tension-type headache caused by tonic reflexive contraction of the occipitofrontalis muscle in patients with aponeurotic blepharoptosis. J Plast Surg Hand Surg. 2013;47(1):21-9.

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

Year 2020, Volume: 45 Issue: 1, 107 - 113, 31.03.2020
https://doi.org/10.17826/cumj.628871

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.

References

  • 1. Damasceno RW, Avgitidou G, Belfort R Jr, Dantas PE, Holbach LM, Heindl LM. Eyelid aging: pathophysiology and clinical management. Arq Bras Oftalmol. 2015;78(5):328-31.
  • 2. Hacker HD, Hollsten DA. Investigation of automated perimetry in the evaluation of patients for upper lid blepharoplsty. Ophthalmic Plastic Reconstr Surg. 1992;8(4): 250-5.
  • 3. Rogers SA, Khan-Lim D, Manners RM. Does upper lid blepharoplasty improve contrast sensitivity? Ophthalmic Plast Reconstr Surg. 2012;28(3):163-5.
  • 4. Hollander MHJ, Contini M, Pott JW, Vissink A, Schepers RH, Jansma J. Functional outcomes of upper eyelid blepharopalsty: A systematic review.J Plast Reconstr Surg. 2019;72(2):294-309.
  • 5. Bahceci Simsek I. Association of upper eyelid ptosis repair and blepharopalstywith headcahe-related quality of life. JAMA Facial Plast Surg. 2017;19(4):293-7.
  • 6. Mokhtarzadeh A, McClelland C, Lee MS, Smith S, Harrison AR. The bleph and the brain: The effect of upper eyelid surgery on chronic headaches. Ophthalmic Plast Reconstr Surg. 2017;33(3):178-81.
  • 7. Kosinski M, Bayliss MS, Bjorner JB, Ware JE Jr, Garber WH, Batenhorst A, et al. A six-item short-form survey for measuring headache impact: the HIT-6. Qual Life Res. 2003;12(8):963–74.
  • 8. Simsek IB, Yilmaz B, Yildiz S, Artunay O. Effect of upper eyelid blepharoplasty on vision and corneal tomographic changes measured by Pentacam. Orbit. 2015;34(5):263-7.
  • 9. Mier RW, Dhadwal S. Primary headaches. Dent Clin North Am 2018;62(4):611-28.
  • 10. Rendes-Baum R, Yang M, Varon SF, Bloudek LM, DeGryse RE, Kosinski M. Validation of the Headache Impact Test (HIT-6) in patients with chronic migraine. Health Qual Life Outcomes. 2014;12:117.
  • 11. Papadopulos NA, Hodbod M, Henrich G, Kovacs L, Papadopoulos O, Herschbach P, et al. The effect of blepharoplasty on our patient’s quality of life, emotional stability, and self-esteem. J Craniofac Surg. 2019;30(2):377-83.
  • 12. Jacobsen AG, Brost B, Vorum H, Hargitai J. Functional benefits and patients satisfaction with upper blepharoplasty - evalauted by objective ans subjective outcome measures. Acta Ophthalmol. 2017;95(8):820-5.
  • 13. Briceno CA, Fuller ML, Bradley EA, Nelson CC. Assessment of the Abbreviated National Eye Institute Visual Function Questionnaire (NEI VFQ 9) in blepharoptosis and dermatochalasis. Arq Bras Oftalmol. 2016;79(4):226-8.
  • 14. Sharma TL. Common primary and secondary causes of headache in the elderly. Headache. 2018;58(3):479-84.
  • 15. Ljubisavljevic S, Zidverc Trajkovic J. Cluster headache: pathophysiology, diagnosis and treatment. J Neurol. 2019;266(5):1059-66.
  • 16. De Rua JA, Buwalda J. Botulinum toxin A injection into corrugator muscle for frontally localised chronic daily headache or chronic tension-type headache. J Laryngol Otol. 2009;123(4):412-7.
  • 17. Guyuron B, Tucker T, Davis J. Surgical treatment of migraine headaches. Plast Reconstr Surg. 2002;109(7):2183-9.
  • 18. Bearden WH, Anderson RL. Corrugator superciliaris muscle excision for tension and migraine headaches. Ophthalmic Plast Reconstr Surg. 2005;21(6):418-22.
  • 19. Matsuo K, Ban R. Surgical desensitization of the mechanoreceptors in Müller’s muscle relieves chronic tension-type headache caused by tonic reflexive contraction of the occipitofrontalis muscle in patients with aponeurotic blepharoptosis. J Plast Surg Hand Surg. 2013;47(1):21-9.
There are 19 citations in total.

Details

Primary Language Turkish
Subjects Ophthalmology
Journal Section Research
Authors

Meryem Altın Ekin 0000-0002-0395-7700

Publication Date March 31, 2020
Acceptance Date January 2, 2020
Published in Issue Year 2020 Volume: 45 Issue: 1

Cite

MLA Altın Ekin, Meryem. “Dermatoşalazisli Hastalarda üst Kapak Blefaroplasti Cerrahisinin Baş ağrısı üzerine Etkisi”. Cukurova Medical Journal, vol. 45, no. 1, 2020, pp. 107-13, doi:10.17826/cumj.628871.