东方人内眦赘皮的解剖及治疗  

Anatomy of oriental epicanthus and its correction

作　　者：宋建星[1] 孙美庆 陈江萍[1] 邢新[1] 郭恩覃[1] 

机构地区：[1]上海第二军医大学长海医院整形外科,上海200433 [2]上海市武警总队医院烧伤整形外科

出　　处：《中华医学美学美容杂志》2001年第5期251-253,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的　通过内眦赘皮相关解剖研究 ,探讨并改进其手术治疗方法。方法　对 6具尸体的内眦赘皮进行了解剖学观察 ,提出了应用鼻侧腱膜固定、内眦角重建方法矫正内眦赘皮畸形 ,即水平切开半月形赘皮及部分内眦韧带 ,将新的内眦点向中央移位并与鼻侧腱膜缝合固定。用此方法对 2 0 0例患者进行了治疗。结果　解剖发现内眦赘皮主要是由于眼轮匝肌起点在内眦韧带处的交错形成。我们应用上述方法矫正内眦赘皮畸形 2 0 0例 ,对其中 165例进行了 6个月～ 4年的随访 ,均获得了较满意的效果。结论　本方法组织创伤小 ,术后刀口瘢痕不明显 ,是矫正内眦赘皮简单而有效的方法。Objective To study epicanthus anatomy in cadavers in order to explore a more ideal technique for the correction of epicanthus. Methods On the basis of epicanthus anatomic dissection in 6 adult cadavers, canthoplasty and a new fixation technique for correcting epicanthus was performed clinically in the following procedures: incising the epicanthal fold and partial inner canthus ligament, pulling the new canthus medially and fixing it on the lateral nasal aponeurosis. Results Anatomic dissection showed that the epicanthus was caused by malposition of the orbicularis oculi muscule. More than 200 patients with epicanthus had been operated on by this technique and 165 of them were available for postoperative follow up for 6 months to 4 years with better cosmetic results. Conclusions This technique has less tissue damage and more favorable postoperative scar. It is a simple and reliable surgical approach for correction of epicanthus.

关 键 词：内眦赘皮 鼻侧腱膜 解剖 治疗 东方人 

分 类 号：R622[医药卫生—整形外科]