提升内眦角的Y—V成形术矫治内眦赘皮  

Modified Y-V epicanthoplasty by raising medial canthus

作　　者：罗定安[1] 赵月强[1] 王松山[1] 吴小蔚[1] 

机构地区：[1]武汉大学人民医院整形外科,武汉430060

出　　处：《中华医学美学美容杂志》2010年第6期380-382,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探索一种效果满意持久，术后遗留瘢痕基本不明显的内眦赘皮矫正手术。方法先在内眦角设计V形切口线，距睑缘1～2mm，向原内眦角顶点A会合，然后从A点向内眦角上方弧形延伸4～8mm（依内眦赘皮程度而定）呈Y形，行Y-V内眦成形术。结果98例中，82例获半年至2年随访，81例愈合，瘢痕不明显，效果稳定，1例矫治不全。结论本术式设计、操作简单，容易掌握、推广。术后不易复发，且瘢痕基本不显。Objective To explore an epicanthoplasty with good effect and small scar. Methods A V shape incision was designed in medial canthus and the two lines： point A is the top point of medial canthus and point A＇ is the top point of new medial canthus. The length of line AA＇ is about 4 to 8 mm according to the medial canthus and th incision is Y shape, and then Y-V epicanthoplasty is raised and enlarged. Results From January 2005 to December 2008, 98 cases were treated with this method to eliminate the medial epicanthal fold of the upper eyelid with simple procedures. Scarring of the medial canthal area had not been a problem with this technique because we designed incisions along the eyelashes and skin-mucosal junctions. By raising the point of new medial canthus to physiological position the angle of medial canthus was enlarged to reveal a lacrimal lake. Conclusion This technique is a simple, easy procedures with no visible scar.

关 键 词：内眦赘皮 Y-V成形术 

分 类 号：R779.6[医药卫生—眼科]