Eyelid and Medial Canthal Changes after a Rhinoplasty
Author: Hossein Ghahvehchian
Base Hospital / Institution: Eye Research Center, The Five Senses Health Institute, Rassoul Akram Hospital, Iran University of Medical Science, Tehran, Iran.
Rapid fire oral presentation
Abstract ID: 24-195
Purpose
Reported periocular complications of rhinoplasty are related to either vascular accident or postoperative inflammation. However, there have been a few referrals who were complaining of developing or worsening of medial epicanthal fold, blepharoptosis and tarsal plate show (TPS) change after their rhinoplasty. Therefore, we designed a study to analyze possible eyelid and medial canthal changes after a rhinoplasty.
Methods
This is a retrospective pre- and post-operative photo analysis of the subjects who had undergone rhinoplasty. Adobe Photoshop 2020 was used to standardize the resolution. Margin reflex distance (MRD)1 and 2, tarsal plate show (TPS), and intercanthal distance (ICD) were measured by two masked observers. Furthermore, pre- and postoperative photos were randomly demonstrated to two masked oculoplastic surgeons to grade the epicanthal fold as grade 1 (no fold), grade 2 (partially covering the caruncle), grade 3 (totally covering the caruncle), and grade 4 (congruent upper and lower lid connection).
Results
This is a retrospective pre- and post-operative photo analysis of the subjects who had undergone rhinoplasty. Adobe Photoshop 2020 was used to standardize the resolution. Margin reflex distance (MRD)1 and 2, tarsal plate show (TPS), and intercanthal distance (ICD) were measured by two masked observers and the average of each parameter was recorded. Furthermore, pre- and postoperative photos were randomly demonstrated to two masked oculoplastic surgeons to grade the epicanthal fold as grade 1 (no epicanthal fold), grade 2 (partially covering the caruncle), grade 3 (totally covering the caruncle), and grade 4 (fold with congruent upper and lower lid connection).
Conclusion
There was no blepharoptosis or significant TPS change after the rhinoplasty. While ICD decreased by 1.2 mm, postoperative grade 2 epicanthal fold was observed in 1.4% of the subjects. While unstandardized photos limit the conclusion, this study opens a forum for discussion and future studies on such possible complications and their clinical significance on patients’ satisfaction.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Mohsen | Bahmani Kashkouli | Eye Research Center, The Five Senses Health Institute, Rassoul Akram Hospital, Iran University of Medical Science, Tehran, Iran. |
| Saeid | Rezaei | Eye Research Center, The Five Senses Health Institute, Rassoul Akram Hospital, Iran University of Medical Science, Tehran, Iran. |
| Houri | Esmaeilkhanian | Eye Research Center, The Five Senses Health Institute, Rassoul Akram Hospital, Iran University of Medical Science, Tehran, Iran. |
| Christopher | Compton | Eye Research Center, The Five Senses Health Institute, Rassoul Akram Hospital, Iran University of Medical Science, Tehran, Iran. |
| Jeremy | Clark | Eye Research Center, The Five Senses Health Institute, Rassoul Akram Hospital, Iran University of Medical Science, Tehran, Iran. |
| Hesam | Jahandideh | Eye Research Center, The Five Senses Health Institute, Rassoul Akram Hospital, Iran University of Medical Science, Tehran, Iran. |
