Comparison of the effect of W-shaped and linear skin incisions on scar visibility in bilateral external dacryocystorhinostomy

Metin Ekinci,1 Halil Hüseyin Çağatay,1 Gokcen Gokce,2 Erdinç Ceylan,3 Sadullah Keleş,4 Özgür Çakici,5 Mehmet Ersin Oba,1 Zeliha Yazar1 1Department of Ophthalmology, University of Kafkas, 2Department of Ophthalmology, Sarikamis Military Hos...

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Autores principales:	Ekinci M, Cagatay HH, Gokce G, Ceylan E, Keles S, Çakici O, Oba ME, Yazar Z
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/b3b27a2a93154ff6beeabe6a15cab813
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spelling	oai:doaj.org-article:b3b27a2a93154ff6beeabe6a15cab8132021-12-02T00:22:13ZComparison of the effect of W-shaped and linear skin incisions on scar visibility in bilateral external dacryocystorhinostomy1177-5483https://doaj.org/article/b3b27a2a93154ff6beeabe6a15cab8132014-02-01T00:00:00Zhttp://www.dovepress.com/comparison-of-the-effect-of-w-shaped-and-linear-skin-incisions-on-scar-a15886https://doaj.org/toc/1177-5483 Metin Ekinci,1 Halil Hüseyin Çağatay,1 Gokcen Gokce,2 Erdinç Ceylan,3 Sadullah Keleş,4 Özgür Çakici,5 Mehmet Ersin Oba,1 Zeliha Yazar1 1Department of Ophthalmology, University of Kafkas, 2Department of Ophthalmology, Sarikamis Military Hospital, Sarikamis, Kars, 3Ophthalmology Clinic, Erzurum Training and Research Hospital, 4Department of Ophthalmology, University of Atatürk, Erzurum, 5Department of Ophthalmology, University of Mugla Sitki Kocman, Muğla, Turkey Background: The aim of this study was to compare the effect of W-shaped skin (WS) and linear skin (LS) incisions on cutaneous scar tissue formation in patients who have undergone bilateral external dacryocystorhinostomy. Methods: Sixteen patients (14 females and two males) with acquired bilateral nasolacrimal duct obstruction were included in this prospective, interventional comparative study. LS incision was applied to one side and WS skin incision to the other side. The skin incisions were assessed 6 months after each procedure by the patients themselves and by two ophthalmologists who were unaware of the skin incision shape and side. Scar tissue that was not recognized under the same light conditions and in the same room from a 100 cm distance was recorded as grade 1. Minimally visible scar tissue was assessed as grade 2, moderately visible scar tissue as grade 3, and easily visible scar tissue as grade 4. Results: The mean scar assessment scores recorded by the first ophthalmologist were 2.50±0.82 for the LS group and 1.25±0.45 for the WS group (P<0.001). The second ophthalmologist’s assessment scores were 2.25±0.86 for the LS group and 1.25±0.45 for the WS group (P<0.001). The mean patient self-assessment score for the incision scars was 2.44±1.03 for the LS group and 1.56±0.73 for the WS group (P<0.001). Conclusion: Compared with LS incision, WS incision resulted in less cutaneous scar tissue formation in patients who have undergone bilateral external dacryocystorhinostomy. Keywords: external dacryocystorhinostomy, skin, W-shaped incision, linear incisionEkinci MCagatay HHGokce GCeylan EKeles SÇakici OOba MEYazar ZDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 415-419 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Ekinci M Cagatay HH Gokce G Ceylan E Keles S Çakici O Oba ME Yazar Z Comparison of the effect of W-shaped and linear skin incisions on scar visibility in bilateral external dacryocystorhinostomy
description	Metin Ekinci,1 Halil Hüseyin Çağatay,1 Gokcen Gokce,2 Erdinç Ceylan,3 Sadullah Keleş,4 Özgür Çakici,5 Mehmet Ersin Oba,1 Zeliha Yazar1 1Department of Ophthalmology, University of Kafkas, 2Department of Ophthalmology, Sarikamis Military Hospital, Sarikamis, Kars, 3Ophthalmology Clinic, Erzurum Training and Research Hospital, 4Department of Ophthalmology, University of Atatürk, Erzurum, 5Department of Ophthalmology, University of Mugla Sitki Kocman, Muğla, Turkey Background: The aim of this study was to compare the effect of W-shaped skin (WS) and linear skin (LS) incisions on cutaneous scar tissue formation in patients who have undergone bilateral external dacryocystorhinostomy. Methods: Sixteen patients (14 females and two males) with acquired bilateral nasolacrimal duct obstruction were included in this prospective, interventional comparative study. LS incision was applied to one side and WS skin incision to the other side. The skin incisions were assessed 6 months after each procedure by the patients themselves and by two ophthalmologists who were unaware of the skin incision shape and side. Scar tissue that was not recognized under the same light conditions and in the same room from a 100 cm distance was recorded as grade 1. Minimally visible scar tissue was assessed as grade 2, moderately visible scar tissue as grade 3, and easily visible scar tissue as grade 4. Results: The mean scar assessment scores recorded by the first ophthalmologist were 2.50±0.82 for the LS group and 1.25±0.45 for the WS group (P<0.001). The second ophthalmologist’s assessment scores were 2.25±0.86 for the LS group and 1.25±0.45 for the WS group (P<0.001). The mean patient self-assessment score for the incision scars was 2.44±1.03 for the LS group and 1.56±0.73 for the WS group (P<0.001). Conclusion: Compared with LS incision, WS incision resulted in less cutaneous scar tissue formation in patients who have undergone bilateral external dacryocystorhinostomy. Keywords: external dacryocystorhinostomy, skin, W-shaped incision, linear incision
format	article
author	Ekinci M Cagatay HH Gokce G Ceylan E Keles S Çakici O Oba ME Yazar Z
author_facet	Ekinci M Cagatay HH Gokce G Ceylan E Keles S Çakici O Oba ME Yazar Z
author_sort	Ekinci M
title	Comparison of the effect of W-shaped and linear skin incisions on scar visibility in bilateral external dacryocystorhinostomy
title_short	Comparison of the effect of W-shaped and linear skin incisions on scar visibility in bilateral external dacryocystorhinostomy
title_full	Comparison of the effect of W-shaped and linear skin incisions on scar visibility in bilateral external dacryocystorhinostomy
title_fullStr	Comparison of the effect of W-shaped and linear skin incisions on scar visibility in bilateral external dacryocystorhinostomy
title_full_unstemmed	Comparison of the effect of W-shaped and linear skin incisions on scar visibility in bilateral external dacryocystorhinostomy
title_sort	comparison of the effect of w-shaped and linear skin incisions on scar visibility in bilateral external dacryocystorhinostomy
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/b3b27a2a93154ff6beeabe6a15cab813
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Comparison of the effect of W-shaped and linear skin incisions on scar visibility in bilateral external dacryocystorhinostomy

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