内眦赘皮术式改进同期行重睑成形术  

A report of 136 cases of upper eyelid fold formation together with medial canthoplasty

作　　者：张海明[1] 徐洋 郑行跃[1] 赵玉明[1] 林煌[1] 杨宇[1] 胡守舵[1] 王佳琦[1] 

机构地区：[1]中国医学科学院中国协和医科大学整形外科医院面颈部整形美容中心,北京100041 [2]黑龙江省哈尔滨市铁路总医院

出　　处：《中华整形外科杂志》2003年第4期273-275,共3页Chinese Journal of Plastic Surgery

摘　　要：目的　探索内眦开大术同时行重睑成形术的新方法。方法　根据临床实践 ,针对具有内眦赘皮的上睑 (倒向性内眦赘皮除外 )内侧睑缘处皮肤短缺和尽量减少局部皮肤瘢痕的原则 ,设计新的内眦开大术式 (反Stallard法 )和重睑成形切口连接的手术方法 ,对 136例患者施行手术 ,并进行为期 6个月以上的随访。结果　对所随访的 6 7例患者的重睑形态和内眦部形状进行评估 ,示重睑为永久性平行性重睑 ,内眦已完全敞开或大部分敞开 ,手术效果满意。结论　由于本术式已充分矫正上睑内侧皮肤横向不足 ,保证了手术效果的满意和稳定。Objective To find a new method to perform medial canthoplasty and upper eyelid fold formation at one stage. Methods Based on the principle to release the skin tension and minimize incision scarring around the medial canthus, an operation was designed for medial canthoplasty together with upper eyelid fold formation. 136 patients with mild or moderate epicanthus underwent this procedure. Postoperative follow-up was as long as 34 months. Results Based on the follow-up of 67 cases, the appearances of the upper eyelid fold and medial canthus were evaluated. The upper eyelid fold was the parallel type. The epicanthus was corrected completely or mostly. Conclusion This new method for medial canthoplasty together with upper eyelid fold formation is suitable to all the simple epicanthus except the reverse epicanthus. The operative results were effective and satisfactory.;

关 键 词：内眦赘皮 内眦开大术 重睑成形术 同期手术 

分 类 号：R622[医药卫生—整形外科]