微创内眦赘皮矫正术

Correction of epicanthus with mini-invasive approach

目的解决传统内眦赘皮矫正术后留下明显的瘢痕问题。方法将内眦赘皮的上缘切口与重睑线的切口相接，患者睁眼时与重睑线一起折叠在重睑的弧度里；内眦赘皮的下缘切口隐藏在下睑缘内，与下睑缘一起折叠向内。结果本组100例患者，随访半年，术后均未见明显的切口痕迹，98例手术效果满意，2例认为内眦开大的程度未达到自己的要求，经再次手术后满意。结论此方法创伤小，手术时间短，恢复快，无明显外露瘢痕。可与重睑术或上睑下垂矫正术同时进行，术后使内眦略钝，睑裂略变宽，易被患者接受。

Objective To resolve the problem of the obvious postoperative scar caused by conventional epicanthoplasty. Methods The incision on the epieanthal superior margin which was stretched to the incision of double eyelid line incision was folded into the radian of double eyelid line when the patient opened her eyes. The incision on the epieanthal inferior margin was hided into the lower lid-margin and it was folded inward together with the lower lid-margin. Results After 6 months follow-up, 98 of 100 cases were satisfied with the concealed incision, 2 cases were unsatisfied with the interior angle of eye which did not meet the needs of the patients. The 2 cases were finally satisfied after the operation again. Conclusion The method was seasonable with slight wound, shorter operation time, quick recovery and concealed postoperative scar. The method could also operate together with the construction of supratarsal fold or correction of blepharoptosis. The postoperative eyes were brighter because of the blunt the interior angle of eye and the wider lid fissure which was accepted easily by those people who were seeking beauty.