改良倒L形切口联合内眦韧带缩短矫正中度和重度内眦赘皮的临床效果  

Clinical efficacy of improved method of inverted L-shaped incision combined with medial canthal tendon plication for moderate and severe epicanthus correction

作　　者：赵李平[1] 王明刚[1] 

机构地区：[1]安徽医科大学附属安徽省立医院整形外科,合肥230001

出　　处：《中华医学美学美容杂志》2015年第3期149-151,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的 探讨改良倒L形切口联合内眦韧带缩短矫正中度和重度内眦赘皮的临床效果.方法 对42例中度和重度内眦赘皮,赘皮覆盖泪阜超过1/2伴单睑或不明显重睑者,采用改良倒L形切口联合内眦韧带缩短矫正术,40例同时行重睑成形术,观察其临床效果.结果 38例随访6～24个月.其中37例同期行重睑成形术,术后内眦赘皮消失、重睑弧度线流畅,泪阜暴露适中,内眦形态自然,内眦赘皮无复发.术后早期1～2个月,切口轻度组织增生,3个月后基本消退.结论 改良倒L形切口联合内眦韧带缩短矫正内眦赘皮的方法操作简单,效果可靠,瘢痕隐蔽.Objective To explore the clinical effect of inverted L-shaped incision combined with medial canthal tendon plication for moderate and severe epicanthus correction.Methods Improved method of inverted L-shaped incision combined with medial canthal tendon plication were performed in 42 cases of moderate and severe epicanthus.The epicanthus covered more than 50％ lacrimal caruncle with single-fold eyelids or unconspicuous double-fold eyelids.Among them,40 cases received doubleeyelid plasty simultaneously.Results The follow-up time of 38 cases ranged from 6 to 24 months.37 cases received double-eyelid plasty simultaneously.All the patients obtained satisfactory results aesthetically,the contours of two eyelid fissures and the double-eyelid radian looked more natural postoperatively.There was no reoccurrence of epicanthus.Mild scar proliferation was observed in all of the patients in the early 1-2 months of postoperative period and then would fade within three months.Conclusions It is effective to correct epicanthus by improved method of inverted L-shaped incision combined with medial canthal tendon placation.

关 键 词：内眦赘皮 重睑成形术 

分 类 号：R779.6[医药卫生—眼科] R622[医药卫生—临床医学]