内眦赘皮与重睑成形同期手术的一种新方法

A new method for medial canthoplasty combined double eyelid formation

目的探索适合同时行重睑成形术和内眦赘皮矫正术的新方法。方法根据内眦赘皮深部眼轮匝肌结构上的异常特点,遵循内眦赘皮的上睑(倒向性内眦赘皮除外)内侧睑缘处皮肤短缺和尽量减少局部皮肤瘢痕的原则,设计适合同时行重睑成形术的新内眦赘皮矫正术(反Stallard法)。结果临床应用86例,进行了为期6个月以上的随访,结果所有患者的重睑为稳定性平行型重睑,内眦已完全或大部分开大,手术效果满意。结论此内眦赘皮矫正术能够充分矫正内眦部结构上的异常,而且适合与重睑成形术同期施行,是一种效果稳定,结果满意的术式。

Objective In order to explore a new method to perform the medial canthoplasty applied with upper eyelid fold formation in a single procedure. Methods According to the principles to correct the deformity of the medial canthus, a new method was designed to fetch up the skin defect of the medial side of upper eyelid, minimize the skin scarring around the medial canthus, and form upper eyelid fold. Results The 86 cases, which mild or moderate epicanthus without upper eyelid fold, were treated with this technique and long-term follow-ups above 6 months were made. The 67 cases were given the follow-ups. The appearances of upper eyelid fold and medial canthus were evaluated. The appearances of eyelid fold were paralleled type. The epicanthus was corrected completely or in major. Conclusions This new canthoplastic method with upper eyelid fold formation may be suitable to all the medial epicanthus except inverse epicanthus. All of the patients were satisfied with the final results.