改良皮瓣切除法矫正内眦赘皮的方法及效果

To explore a way and efficacy of curing epicanthoplasty by removing a modified triangle skin flap

目的探索改良"△"皮瓣切除法矫正内眦赘皮的临床效果。方法自2010年5月至2015年6月,对168例内眦赘皮应用改良的"△"皮瓣切除法进行矫正。在原内眦点A与新内眦点C间设计等待切除的"△ABC"皮瓣并切除,分离皮下的纤维结缔组织,离断错构、错位的眼轮匝肌,使皮肤自然回位。沿着内眦角的睑下缘延长CA至D点,D点根据内眦赘皮的程度灵活确定。分离AD、AC两侧的皮肤及皮下组织,∠DCB、∠DAB修剪成为略圆钝状,直接缝合A、C两点成新内眦点,BA与BC缝合,CD与AD缝合。结果所有求美者泪阜大部分显露,睑裂变长、双内眦间距缩短、内眦角圆钝、外眦角上翘。术后随访3个月到1年,内眦赘皮得到完全矫正,美观自然,无复发,切口瘢痕不明显,效果满意。结论改良"△"皮瓣切除法矫正内眦赘皮是一种设计简单,术后效果好、切口瘢痕不明显手术方法,值得临床推广。

Objective To explore a way and effecacy of curing epicanthoplasty by removing a Modified triangle skin flap. Methods From May 2010 to 2015, epicanthoplasty was treated by a Modified triangle skin flap in 168 cases. The △ABC skin flap was removed. Fibrous connective tissue under skin was separated and orbicularis oculi muscle was dissected and removed. ∠BAD and ∠BCD were trimmed to a round shape. The new point of canthus was formed by suturing A and C. Results After 3months to 1 year follow-up, all 138 cases received satisfactory results for suitably exposed lacrimal caruncle and and longer palpebral fissure and so on. Two eyes were spaced naturally, with recurrence and slight scars.Conclusion Epicanthoplasty by removing a modified triangle skin flap has such advances as easy performance, good effect with slight scars, and it is worth popularization in clinic.