Analysis of risk factors for quality management to blepharoplasty based on DEMATEL‐ISM

Abstract

Objective Blepharoplasty is a typical complex structural system, which involves many factors and the interaction among them. Therefore, it is the basis of controlling the occurrence of medical complications in blepharoplasty to clarify the hierarchical relationship of various risk factors and find out the key risk factors. Methods On the basis of identifying the risk factors for quality management of blepharoplasty by means of literature research, questionnaire survey and expert interview, the risk factor model of blepharoplasty quality management were analyzed and constructed. The relationship between the risk factors and the degree of influence on the risk factors was studied using Decision‐Making Trialand Evaluation Laboratory and Interpretative Structural Modeling Method, and the hierarchical structure model of the risk factors for blepharoplasty quality management was obtained. Results Six levels of risk factors in quality management of blepharoplasty were identified and classified, and the causal attributes among risk factors were determined. Six key risk factors in quality management of double eyelid surgery were determined according to centrality, and finally the above risk factors were divided into three categories: direct cause, excessive cause, and essential cause. Conclusions This study realizes the comprehensive risk factor analysis of the complex system of quality management of blepharoplasty, which can provide reference for plastic surgeons to make safety decisions of blepharoplasty.

A Novel Strategy to Achieve Stable and Lasting Double Eyelids in Upper Blepharoplasty

“…One of the most widely used surgical methods of aesthetic blepharoplasty is the incision method which means making an incision on some tissue. The principles of incision method have following features includes9,10: (1) multiple fixations, it means that the surgeon sutures the tarsus to the fascia which locates in the front of the tarsus and then sutures the incision; (2) the reduction in the volume of upper eyelid tissue, it means that the surgeon excises a part of orbicularis oculi muscle and the connective fascia on tarsus in order that no extra tissue between the tarsus and skin is left. The two methods utilize either the force of suture or the force of scars to form the crease line.…”

“…The complication of the narrowing and lightening of the double-eyelid line in the incision blepharoplasty is the most common and often bothers plastic surgeons 4,5. The inaesthetic appearance complications cause marks the failure of the surgery.…”

“…Therefore, how to decrease the incidence of complications becomes the problem most plastic surgeons have to think. 4,5 By studying previous researches, we found many scholars believed that epicathal folds would limit the opening of eyes and influence the blepharoplasty. 6,7 To overcome the above problems, we came up with an original concept that to reasonably apply biomechanics in double-eyelid surgery can be expected to solve some clinical problems.…”

“…2,3 They arise primarily from neuroectoderm entrapped during embryonic closure. 4 These lesions are slow growing, usually diagnosed between birth and the first 5 years of life. Midline dermoid cysts can be associated with cranial and spinal dysraphism as well as intracranial extension and as such require early evaluation and treatment.…”

“…Midline dermoid cysts can be associated with cranial and spinal dysraphism as well as intracranial extension and as such require early evaluation and treatment. [4][5][6] Transillumination is a feature very rarely seen within dermoid cysts and has been utilized as a tool to not only characterize these lesions but differentiate them from a meningocele or encephalocele, which require a different surgical strategy. [2][3][4][7][8][9][10] We present an atypical case of an anterior fontanelle dermoid cyst with transillumination.…”