改良横切法矫正内眦赘皮

Epicanthus correction by modified transverse incision epicanthoplasty

目的:在横切法矫正内眦赘皮基础上,探寻一种能充分开大内眦,切口瘢痕不显的手术方法。方法:设计连接新内眦点与下睑缘的呈"一"横条形切口,按设计线切开皮肤,松解或剪除皮下部分错位的眼轮匝肌纤维,将原内眦角与新内眦点缝合,不去皮,仅作下睑缘切口皮下适当游离,皮肤妥善对位缝合。结果:本组85例中,3例术后1个月时主诉内眦切口瘢痕比较明显,3个月后瘢痕已不明显;2例因内眦少许皮肤皱褶不满意;其余83例对形态效果均满意,内眦赘皮矫正充分,瘢痕不明显,术后赘皮无复发。结论:本改良方法无需切除皮肤,内眦开大充分,瘢痕不明显,赘皮不易复发,是矫正内眦赘皮简单有效的方法。

Objective To explore a better way to adequately enlarge the inner canthus with inconspicuous scar based on the operation method of transverse incision for correcting the redundant skin in the inner canthus. Methods Designing transverse incision along the new inner canthal point and lower palpebral margin,separating the skin below incision, dissociation or cutting off part of displaced orbicularis,and suturing the original inner canthal point and new inner canthal point,without removing skin,only subcutaneous separation. Results 83 of 85 cases was satisfied with postoperative shape.The correction was sufficient with inconspicuous scar and less recrudescence by the new method. 3 cases had evident incision scars when postoperative one month, three months later scars became inconspicuous,only 2 cases were unsatisfactorv for the skin fold. Conclusion This method has the advantages of sufficient enlarged inner canthus. Without removing skin,inconspicuous scar and less recrudescence.It is a simple and effective method for correcting the redundant skin of the inner canthus.