横切口内眦赘皮联合重睑成形术疗效观察

Transverse incision surgery for epicanthoplasty with double eyelid fold reconstrustion

目的探讨与重睑成形术同时进行的横切口内眦赘皮矫治术的治疗效果。设计回顾性病例系列。研究对象内眦赘皮患者103例。方法在内眦赘皮处采用横切口深部固定联合重睑成形术。术后随访3～6个月,评价手术效果。主要指标泪阜显露大小,睑裂长度,内眦间距,瘢痕程度。结果最后随诊时泪阜显露3/4者21例、2/3者56例、1/2者8例;睑裂长度30～31mm者5例、28～29mm者69例、26～27mm者11例;内眦间距32～33mm者61例、30～31mm者23例、29mm者1例;瘢痕不明显56例,较明显29例;内眦赘皮复发2例。随访流失16例。结论横切口内眦赘皮联合重睑整形术组织创伤小、术后瘢痕不明显,是矫正内眦赘皮简单而有效的方法。

Objective To investigate the effect of transverse incision surgery for epicanthoplasty with double eyelid fold reconstruction. Design Retrospective case series. Participants 103 patients with epicanthus. Method Transverse incision was applied for epicanthoplasty in all patients, and incorporated with double eyelid fold reconstruction. Patients were followed up 3-6 months. Main Outcome Measures Size of lacrimal caruncle, length of palpebral fissure, inner canthic diameter and scarring degree. Results Lacrimal caruncle was revealed 3/4 merous in 21 cases, 2/3 merous in 56 cases, 1/2 merous in 8 cases. Extent of palpebral fissure was 30-31mm in 5 cases, 28-29 mm in 69 cases, 26-27 mm in 11 cases. Inner eanthic diameter was 32-33mm in 61 cases, 30-31 mm in 23 cases, 29 mm in 1 case. The scarring was little in 56 cases, obviously in 29 cases. Epicanthus relapsed in 2 cases. 16 cases lost follow-up. Conclusion Transverse incision surgery for epicanthoplasty with double eyelid fold reconstruction has less tissue damage and minimal scarring produced at the medial eantha. It is a simple and reliable surgical approach for correction of epieanthus. （Ophthalmol CHN, 2009, 18： 121-123）