改进的内眦赘皮矫治术联合重睑成形术Ⅰ期成形  

A modified method for epicanthal folds combining the double-eyelid blepharoplasty with in one stage

作　　者：刘翠云[1] 柳向东[2] 黎俊霞[1] 刘雪梅[1] 易传勋[2] 

机构地区：[1]武昌铁路医院整形美容科,湖北武汉430063 [2]华中科技大学同济医学院附属协和医院整形外科

出　　处：《中国美容整形外科杂志》2007年第4期280-282,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探讨改进的内眦赘皮矫治术联合切开法重睑成形术的方法及临床效果。方法根据内眦赘皮的轻重程度及方向,采用改良的"Z"成形术,切除或切断内眦部形成赘皮的异位眼轮匝肌及皮下筋膜组织,联合切开法重睑成形术行Ⅰ期成形。结果本组68例患者,术后赘皮消失,泪阜显露适中,内眦间距缩短,重睑外形美观自然。其中,36例随访3个月至3年,术后皮肤切口无可见瘢痕,形态稳定,内眦赘皮无复发,效果满意。结论该手术方法能够充分矫正内眦赘皮的异常结构,而与重睑成形术同期施术效果稳定,具有一定的临床应用价值。Objective To investigate the possibility of plastic and cosmetic operation incorporating epicanthoplasty with the double- eyelid blepharoplasty in one stage. Methods According to the serious degree and direction of epicanthal folds; a modified method designed to correct epicanthal folds and create double - lid was operated using asymmetric Z flap at medial canthal area in one - stage procedure. The appearance of large opened eyes was produced by lengthening the palpebral fissure. Results All 136 eyes （68 cases） were operated and satisfactory aesthetic results were obtained. The results were good after 3- 36 months following up. Conclusion This is a simple and effective operative procedure with good results that can be widely used.

关 键 词：内眦赘皮 重睑成形术 “Z”成形术 眼轮匝肌 

分 类 号：R779.6[医药卫生—眼科]