不同类型内眦赘皮的处理对策

Therapeutic strategy for different types of epicanthus

目的 探讨对不同类型内眦赘皮的合理处理方案.方法 首先根据就诊者内眦赘皮的形态、程度及内眦间距情况进行诊断分类,然后采取相应的处理方法.下睑型、内眦型内眦赘皮及上睑型重度内眦赘皮采用改良Z字法;上睑型中度内眦赘皮采用一字法;上睑型轻度内眦赘皮,需行切开法矫正者采用一字法,另有2种情况可不做内眦区的切开手术：①内眦间距不宽行重睑成形术时;②内眦间距不宽行隆鼻术时.结果 共66例内眦赘皮者通过采用以上分类及相应处理方法,全部病例手术切口愈合良好.术后随访3-12个月,内眦赘皮均完全矫正,泪阜显露适中,内眦角无明显瘢痕,弧度自然,形态良好,患者均感满意.结论 根据内眦赘皮的形态、程度及内眦间距情况进行诊断分类,然后相应采用不同处理方法,是处理内眦赘皮比较合理的方案.

Objective To explore the reasonable therapeutic strategy for different types of epicanthus.Methods Patients with epicanthus were classificated according to the shape, extent and inner canthal distance and treated with different methods appropriately.Modified asymmetric Z plasty with two curve method was used in lower eyelid type epicanthus, inner canthus type epicanthus and severe upper eyelid type epicanthus.Moderate upper epicanthus underwent ‘-’ shape method.Mild upper epicanthus in two conditions which underwent nasal augumentation and double eyelid formation with normal inner canthal distance need no correction surgery.The other mild epicanthus underwent ‘-’ shape method.Results A total of 66 cases underwent the classification and the appropriate treatment.All wounds healed well.During 3 to 12 months follow-up period, all epicanthus were corrected completely with natural contour and unconspicuous scars.All patients were satisfied with the results.Conclusions Classification of epicanthus based on the shape, extent and inner canthal distance and correction with appropriate methods is a reasonable therapeutic strategy.