改良横切纵缝内眦赘皮矫正同期重睑成形术

A modified transverse-vertical epicanthoplasty with concurrent double eyelid plasty

目的 探讨一种新的内眦赘皮矫正同期行重睑成形术的方法。方法 内眦赘皮矫正采用改良横切纵缝法，在新的内眦点及下泪点之间沿睑缘做曲线切口，皮下分离后去除错位异构的眼轮匝肌，折叠缝合内眦韧带浅头或将内眦韧带浅头缝合于鼻侧筋膜，皮肤重新调整后缝合内眦切口：常规行重睑成形术，但重睑切口与内眦切口不相连续，呈皮下隧道相通，隧道内眼轮匝肌予以剪除。结果 临床应用189例，随访3～24个月，新内眦外形良好，瘢痕不明显，重睑线自然流畅，上睑与内眦无线形瘢痕相连，内眦赘皮无复发。结论 改良横切纵缝内眦赘皮矫正同期行重睑成形术，是矫治单睑伴内眦赘皮一种简单有效的可行方法。

Objective To explore the techniques of epicanthoplasty with concurrent double eyelid plasty. Methods Epicanthoplasty was performed based on the principle of transverse-vertical plasty. The eurvilinear incision of epicanthoplasty was made from the desired point of the new medial canthus to the point 1 mm below the lower lacrimal point, the malpositioned orbicularis oculi muscle excised after skin undermining, the superficial head of the medial eanthal tendon plicated or anchored to the lateral nasal aponeurosis and the incision closed after skin redraping. Double eyelid plasty was performed as usual, however, the incision of eyelidplasty was connected with the incision of epicanthoplasty by skin tunnel in which a strip of orbicularis oculi muscle was excised. Results From Oct. 2006 to Feb. 2009, 189 cases were treated. The follow-up period ranged from 3 to 24 months. The cosmetic results of the medial canthi were satisfactory with inconspicuous scar and no recurrence. The contours of the double eyelids were natural. No incisional sear presented between the medial canthi and the upper eyelids. Conclusion The modified transverse-vertical epicanthoplasty with concurrent double eyelidplasty is a simple and reliable surgical approach for correction of epicanthus and creation of supratarsal fold.