Chinese Academy of Medical Sciences, China
Jingyi Zhao was graduatded from Chinese Academy of Medical Sciences & Peking Union Medical College in July 2017 and got her doctor’s degree.During the 5 years in Plastic Hospital in Beijing,she learned basic skills of plastic and reconstrucive surgeries, Craniomaxillofacial surgeries and Cosmetic surgerys.3 SCI articles were published during this period.This manuscript above was one of her clinicle studies,which reported the use of patient reported outcome measures (PROMS) and patient satisfaction score for the assessment of the outcome of double eyelid surgery in Chinese. It can bu used for blepharoplasty and other kinds of cosmetic surgeries,which has great clinical application values,should be popularized.
Statement of the Problem: We previously reported consistent good outcome with the surgical techniques of integration of our modified Z-epicanthoplasty with blepharoplasty. The purpose of this study is to evaluate the surgical outcome from the patient’s perspective using the patient reported outcome measures (PROMS) and patient satisfaction scores. Methodology & Theoretical Orientation: A total of patients (n=180) underwent the surgery between January 2013 to June 2016 were randomly selected to participate in this study. Standardized patient satisfaction form (total score of 40) and validated PROMs questionnaires (total score of 12) were sent to patients for completion. The PROMS consisted of domains which assessed the severity of the scarring, pain, asymmetry, functional and appearances issues. Non-responders were followed up by telephone reminders at 4 weeks later to maximize response rate. Findings: All the patients were females, ranging from 18 to 35 (mean =24) with a response rate of 73.3% (n=132). Majority of patient reported good or excellent outcomes based on the analysis of the results collected from the PROMs. Patients reported minimum or non-visible scarring at both the double eyelid surgical scar (85.6%) and the inner canthus (80.3%) respectively. Functional and appearance issues was minimum with 80.3% reported satisfied with both domains. There is a positive linear correlation between PROMS and patient satisfaction rate (p<0.05). Conclusion & Significance: Integration of our modified Z-epicanthoplasty with blepharoplasty yield good outcome based on the results obtained from the patient report outcome measures, which shown positive linear relationship to the patients’ satisfaction score. To the best of our knowledge, this is the first attempt using the patient reported outcome measures in Asian double eyelid surgery and we advocate its use to standardize the evaluation of post-operative outcomes.