横切口法内眦赘皮矫正同期行重睑成形术

of upper eyelid fold formation together with transvers incision medial canthoplasty

目的:探索内眦开大术同时行重睑成形术的方法。方法:根据临床实践,针对具有内眦赘皮的上睑内侧睑缘处皮肤短缺,根据减少局部皮肤瘢痕的原则,设计内眦开大术式和重睑成形切口不连接的手术方法,对30例患者施行手术,并进行为期6个月以上的随访。结果:对所随访的30例患者的重睑形态和内眦部形状进行评估,重睑线自然,内眦已完全敞开或大部分敞开,最大程度地减少术后瘢痕。结论:本术式已充分矫正上睑内侧皮肤横向不足,保证了手术效果的满意和稳定。

Objective To find a new method to perform medial canthoplasty and upper eyelid fold formation at one stage.Methods Based on the principle to release the skin tension and minimize incision scarring around the medial canthus,an operation was designed formedial canthoplasty together with upper eyelid fold formation.30 patients with mild or moderate epicanthus underwent this procedure.Postoperative follow-up was as long as 6 months.Results Based on the follow-up of 30 cases,the appearances of the upper eyelid fold and medial canthus were evaluated.The upper eyelid fold was the parallel type.The epicanthus was corrected completely or mostly.Conclusion This new method formedial canthoplasty together with upper eyelid fold formation is suitable to all the simple epicanthus except the reverse epicanthus.The operative results were effective and satisfactory.