改良横切口法内眦赘皮矫正术

Epicanthoplasty with modified transverse incision

目的 探讨一种简单有效且能减轻切口瘢痕增生的内眦赘皮矫正方法.方法 采用改良横切口,将皮瓣悬吊于新内眦点,切除上、下方多余皮肤后缝合.自2004年6月至2007年6月,采用此改良横切口法实施内眦赘皮矫正术30例.结果 本组求美者共30例,术后随访其中28例6～36个月,睑裂变长,内眦间距缩短、眼形自然美观,切口瘢痕不明显,效果满意.结论 改良横切口法内眦赘皮矫正术操作简单,创伤小,切口瘢痕轻微,是一种可以有效矫正内眦赘皮的良好方法.

Objective To introduce effective and easy operating method for epicanthoplasty which is beneficial to decreasing the postoperative scar hyperplasia. Methods Epicanthoplasty was performed with a modified transverse incision and the skin flap was fixed to the new medial epicanthus. The excess area of skin flap was trimmed and the subciliary incision was closed. Totally 30 patients were treated by the operation mentioned above from June 2004 to June 2007. Results After 6 to 36 months follow-up, the palpebral fissure became longer with shorter inner canthal distance. Satisfactory results were received in all patients with nice, natural eyes shape and slight scar, postoperatively. Conclusion It is an effective and easy method to correct epicanthus minimal invasively by modified transverse incision with slight scar and optimal effect.