横切法内眦赘皮矫正及同期切开法重睑成形术  

Correction of epicanthus by transverse incision and concurrent double-eyelid plasty

作　　者：布仁 张艳青[2] 刘凯[3] 

机构地区：[1]新疆维吾尔自治区第六人民医院,乌鲁木齐830000 [2]复旦大学附属眼耳鼻喉科医院 [3]上海交通大学附属第九人民医院整复外科

出　　处：《中华医学美学美容杂志》2012年第4期267-269,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨横切法内眦赘皮矫正同期行切开法重睑成形术的临床效果。方法采用横切法，在新的内眦定点至原内眦角点横行直线切开，达原内眦角点后，沿下睑缘做平行浅弧形切口，行切口上下方皮下充分分离，松解去除错位异构的眼轮匝肌及增厚的组织，使内眦赘皮皮肤自然复位，必要时折叠缝合内眦韧带浅头，去除内眦切口颞侧的小“猫耳”，缝合切后口；常规行切开法重睑成形术，但重睑切口与内眦切口勿相连续。结果临床应用258例，随访3～18个月，内眦赘皮消失，新内眦外形良好，瘢痕不明显，内眦赘皮无复发，重睑外形美观。结论横切法内眦赘皮矫正同期行切开法重睑成形术，是矫治单睑伴内眦赘皮的一种简单而较为实用的理想方法，值得临床推广。Objective To explore epicanthus correction by transverse incision method and con-current double-eyelid incision operation. Methods The transverse straight-line incision was performed in new inner canthus to the original eanthal corner point; after the original inner canthus corner point was reached, the oblique-line parallel incision was performed along the lower eyelid so that full subcu-taneous separation was obtained on the upper and lower incision; the malpositioned isomerous orbicu-lar muscle and thickened tissue were released and excised so that the epicanthus skin was naturally re stored; the superficial head of the inner canthus ligament was folded and sutured when necessary; af ter small ＂cat ears＂ at the temporal side of the inner canthal incision was removed, routine double eye-lid plasty was then performed, but the double eyelid and the inner canthus incisions were not continu-ous. Results The procedures were clinically applied in 258 cases and followed up for 3-18 months, showing that the epicanthus has disappeared, new inner canthus was in good appearance, the scar was not obvious, recurrence of the epieanthus was not found and double eyelids were beautiful in appear ance. Conclusions The epicanthus correction by transverse incision and concurrent double-eyelid plas-ty is a simple and ideal approach for correction of single-edged eyelid with epicanthus and it is worthy of clinical promotion.

关 键 词：内眦赘皮 横切法内眦赘皮矫正术 重睑成形术 

分 类 号：R779.6[医药卫生—眼科]