Z成形术矫正内眦赘皮的效果观察

Effects of epicanthoplasty with Z-plasty

目的:探索Z成形法内眦赘皮矫正术的方法和临床应用效果。方法:采用Z形切口矫正内眦赘皮的皮肤、眼轮匝肌和内眦韧带的解剖异常。结果:2005年5月-2013年12月,对179例内眦赘皮的患者采用此法矫正。术后对58例患者随访6个月,除1例出现内眦部的切口瘢痕增生,2例内眦赘皮部分复发,其余病例取得比较满意的效果。结论:Z成形术矫正内眦赘皮能够充分矫正内眦部的结构异常,适合与切开法重睑术同期实施,可用于多数的内眦赘皮矫正。

Objective To explore the technique and clinical effects on epicanthoplasty with Z-plasty. Methods To correct the anatomical abnormality of the skin, orbicularis oculi muscle and inner canthal ligament with Z-plasty. Results From May. 2005 to Dec. 2013, patients were treated by Z-plasty.58 cases were followed up for 6 months, among of which one case had scar hyperplasia in inner canthus and two cases had relapsed partially, the rest patients had gotten satisfactory results. Conclusion Z-plasty can fully correct the structural abnormalities of the inner canthus, which should be made with double eyelid plasty simultaneously. Z-plasty is suitable for majority of epicanthoplasty