000			03077cam a2200325 a 4500
003			EG-GiCUC
008			180121s2017 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aPh.D
099			_aCai01.11.24.Ph.D.2017.En.M
100	0		_aEngy Abdeltawab Ahmed
245	1	0	_aManagement of Tear Trough deformity with and without Orbicularis retaining ligament release in blepharoplasty : _bA comparative study / _cEngy Abdeltawab Ahmed ; Supervised Yehia Salah Eldin Mostafa , Tamer Ismail Gawdat , Youmna Amr Abdelwahab
246	1	5	_aدراسه لمقارنة اصلاح تشوه كيس الدموع الخارجي مع و بدون فك اوتار عضلة الجفون الدائريه في جراحة تجميل الجفون
260			_aCairo : _bEngy Abdeltawab Ahmed , _c2017
300			_a89 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Ophthalmology
520			_aPurpose : Evaluation of the effect of releasing the Tear trough- orbicularis retaining ligament complex combined with the classic blepharoplasty in the surgical management of tear trough deformity compared with the effect of classic blepharoplasty alone Methods: A prospective, randomized(by closed envelope technique) ,controlled surgical trial which included 50 patients (100 eyes) with bilateral visible tear trough deformity and lower eyelid fat bulging,divided in two groups where 25 patients (50eyes)had tear trough {u2013}orbicularis retaining ligament release and 25 patients (50eyes)didn{u2019}t with classic blepharoplasty,qualitative and quantitative assessment of tear trough deformity and was done at 6 months postoperatively,achieving grade 0 or 1 of barton's classification was considered as success rate. - Standardized photographic documentation of each patient was done pre and postoperatively, also assessment of the patients satisfaction postoperatively from (excellent- very good {u2013}good- fair) according to the improvement in the perioebital rejuvenation. Results: There was statistically significant difference between the two groups in the overall aesthetic results postoperatively regarding the qualitative and quantitative analysis of the tear trough deformity, where patients who had Tear trough {u2013}ORL complex release had more successful outcomes than those of the second group. Conclusion Orbicularis retaining ligament release should be done in all patients candidate for blepharoplasty in order to release the teathering effect of this ligament which leads to the prominence of the naso jugal groove
530			_aIssued also as CD
653		4	_aOphthalmology
653		4	_aTear Trough deformity
653		4	_aWith and without Orbicularis retaining ligament
700	0		_aTamer Ismail Gawdat , _eSupervisor
700	0		_aYehia Salah Eldin Mostafa , _eSupervisor
700	0		_aYoumna Amr Abdelwahab , _eSupervisor
905			_aEnas _eCataloger
905			_aNazla _eRevisor
942			_2ddc _cTH
999			_c64642 _d64642