横弧线法内眦赘皮矫正术的临床应用

The clinical application of transverse arc epicanthoplasy

目的：探索横弧线法内眦赘皮矫正术的临床应用。方法：对49例内眦赘皮伴单睑的患者进行重睑成形术联合横弧线法内眦赘皮矫正术。以“⌒”连接内眦角点与其在内眦赘皮表层投影点，自内眦角点起距下睑缘2mm平行向外延长切口约5～8mm，分离切口周围皮下组织，去除内眦韧带浅层起始错乱的眼轮匝肌，折叠缝合内眦韧带浅头，无张力缝合内眦皮肤。结果：临床应用49例，进行为期3个月的随访，患者均内眦角暴露良好，内眦及重睑形态自然美观，效果满意。结论：横弧线法内眦赘皮矫正术效果确切，值得临床推广。

Objective To explore the clinical application of transverse arc epicanthoplasy. Methods 49 patients with the epicanthal fold were treated with the double eyelidplasty combined with the method of transverse art epicanthoplasy. Connect the inner canthus corner with its surface projective on the epicanthus by a＆quot;⌒＆quot; shaped incision.From the original inner canthus point to the skin bellow the lower eyelid 2mm extent the incision about 5- 8mm parally, separate the subcutaneous around the incision, cut off the orbicularis muscles with disordered starts in the superficial of the canthal ligaments,suture the superficial canthal ligaments to make them folded, and close other skin incisions without tension. Results The clinical application of 49 cases, for a period of three months＇ follow- up,all patients were satisfied with the fully exposed inner canthal angle,and the good look of the inner canthus and the double eyelids. Conclusion It is an effective method to correct epicanthus, and derversed to be widely used in clinical.