横一字切开法内眦赘皮矫正术  

Correction of epicanthus by transverse-one＇ s procedure

作　　者：黄泽春[1] 梁志为[1] 谭章梅[1] 张安利[1] 彭丽[1] 王红梅[1] 

机构地区：[1]湖南省郴州市第一人民医院整形美容科,郴州423000

出　　处：《中华医学美学美容杂志》2009年第5期313-315,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探索一种简便有效的内眦赘皮矫正术式——横一字切开法内眦赘皮矫正术，使术后内眦赘皮消失，切口瘢痕不明显，外形美观。方法向鼻侧牵拉内眦部皮肤，完全显露原内眦角和泪阜，然后放松皮肤确定原内眦角在皮肤表面的投影点为新的内眦点，由此点向赘皮游离缘水平切开，切口线呈一字继续沿下睑睫毛缘下约2mm，向外延伸5～10mm。分离切口下方约10mm×10mm范围的皮肤，使皮肤呈自然舒展状态，剪除内眦赘皮下方部分错构的眼轮匝肌、内眦韧带及增厚的筋膜组织，将原内眦角与鼻侧腱膜缝合固定1针，无需修整皮肤，切口在无张力下缝合。结果65例采用横一字切开法行内眦赘皮矫正，经1个月至1年的随访，内眦赘皮消失，内眦角形态自然，泪阜显露充分，眼裂增长，瘢痕不明显，术后效果满意。结论采用横一字切开法矫治内眦赘皮，设计简单，操作容易，组织创伤小，瘢痕不明显，术后内眦形态良好，无复发，是矫正内眦赘皮效果可靠的方法之一。Objective To explore a simple and effective epicanthoplasty. Methods A total of 65 cases were corrected by incising the epicanthus levelly, extending the incision along the lower palpebral margin, separating the skin about 1 cm ×1 cm scope below incision, cutting off part of the orbicularis and epicanthus ligament, fixing epicanthus angle to nasal aponeurosis, and suturing the incision without tension. Results All the cases corrected by the transverse-one＇s procedure were follow- up one month to one year, and satisfactory results obtained. Conclusion This method is a simple and effective epicanthoplasty with less tissue damage and good appearance.

关 键 词：内眦赘皮矫正术 内眦赘皮 

分 类 号：R779.6[医药卫生—眼科] R622[医药卫生—临床医学]