改良倒“L”法内眦赘皮矫正术联合切开法重睑术的临床应用

Clinical application of modified inverted L-shape epicanthus correction combined with double eyelid plasty

目的探讨改良倒“L”法内眦赘皮矫正术与切开法重睑术的联合切口设计在临床中的应用效果。方法自2018年1月至2020年1月,共有求美者358人,716只眼,均采用改良倒“L”法矫正内眦赘皮联合切开法重睑术进行手术治疗,倒“L”短臂与重睑切口相连续,长臂隐藏于下睑缘。术后6个月开始通过患者术后效果评价表(Patient Reported Outcome Measures,PROM)随访,最后对术后效果进行评价。结果347位求美者对术后效果满意,11位求美者、15只眼出现了重睑或内眦形态不佳的问题,均予以二次手术修复,满意率达97%。结论本文设计的改良倒“L”法内眦赘皮矫正术与切开法重睑术的联合切口设计是一种简便实用、易于掌握的矫治单睑伴内眦赘皮方法,求美者满意度高,值得在临床推广应用。

Objective To explore the clinical effect of the correction of epicanthus by the modified inverted L-shape epicanthoplastycombined with double eyelid surgery.Methods From January 2018 to January 2020,a total of 716 eyes of 358 patients had undergone the inverted L-shape epicanthoplasty and double eyelid plasty.The inverted“L”short arm was continuous with double eyelid incision,and the long arm was hidden in the lower eyelid margin.All the patients were followed up in 6 month after the operation using the PROM(Patient Reported Outcome Measures)to evaluate the outcomes.Results Totally 347 patients were satisfied with operation result.The contours of the eyelid fissure were smooth and natural,while the surgery scare was hidden naturally.15 eyes in 11 patients had the poor morphology after operation of epicanthoplasty and double eyelid plasty,all of which were repaired with the second operation,and the satisfaction rate is 97%.Conclusion The inverted L-shape epicanthoplasty combined with double eyelid plasty we explored was an effective and practical method.