改良水平横切去三角瓣法内眦赘皮矫正术的临床应用

摘要

Obiective To explore the method and clinical effect of epicanthal plasty.Methods Transverse incision of epicanthus was applied on the horizontal line of the epicanthus to separate and release the orbicularis oculi muscle and the fibrous tissue and moderately remove the abnormal orbicularis oculi muscle.The redundant triangular flap under the incision was removed,and the superficial ligament of epicanthus was sutured and fixed to the dorsal nasal fascia with I stitch,so as to achieve correcting the epicanthus.Results The epicanthus of the 121 patients was corrected after the surgery with their lacrimal caruncle exposed.The appearance of the endocanthion is pleasing,the skin of the endocanthion is smooth,the scar is invisible,and the oculi rimae is lengthened 1 to 3 mm.Conclusions The operation has achieved a satisfactory effect.Therefore,the horizontal transection to remove the triangular flap is applicable for most epicanthus due to its simplicity and practicality,as well as the invisible scar and simultaneous manipulation with other operations.These features might be significant for a wider clinical application.%目的 探索内眦赘皮矫正术的方法和临床应用效果.方法 在过内眦点的水平线上横向切开内眦赘皮,分离松解皮下错构轮匝肌及纤维组织,适当去除部分异常的轮匝肌,去除切口下多余的三角形皮瓣,将内眦赘皮韧带浅头向鼻背筋膜缝合同定1针,以达到矫正内眦赘皮的目的.结果 121例患者术后内眦赘皮消失,泪阜显露,内眦形态美观,内眦部皮肤平整,瘢痕不明显,眼裂延长1 ～3 mm,手术效果满意.结论 水平横切去三角瓣法适用于任何形式的内眦赘皮.手术方法简单,易于掌握,手术瘢痕不明显,可与其他手术同期完成.