摘要
目的探讨应用美学标准设计新内眦点和睑裂倾斜角的内眦赘皮矫正术的方法及美容效果。方法眼型及内眦间距不符合美学标准的内眦赘皮患者142例,予手术治疗,方法为:首先测量睑裂倾斜角、内眦间距和睑裂横径,根据所测数据设计新内眦点和新睑裂倾斜角;采用睫毛周边切口的方法,平行上下睑缘切开内眦皮肤达新内眦点,沿睫毛周边顺延切口,向上、下分离皮瓣,将原内眦点与新内眦点缝合,上下皮瓣向侧方移位,修剪去多余皮肤,间断缝合。结果本组142例,获随访1～10个月者78例,新内眦点形成良好,无明显瘢痕,睑裂变长,睑裂横径与内眦间距基本相等,睑裂倾斜角在8～10度,符合美学标准。结论采用美学标准设计实施的睫毛周边切口内眦赘皮矫正术,组织创伤小、切口瘢痕不明显,且符合眼部美学标准,是一举两得的矫正内眦赘皮的好方法。
OBJECTIVE To discuss the methods and esthetic effects of correction of epicanthus by adopting the esthetic standards to design the new point of canthus and inclination angle of palpebral fissure. METHODS One hundred and forty-two cases whose eyelids and spaces between the canthuses didn＇t meet the esthetic standards were performed surgery. Firstly, measured the inclination angle of palpebral fissure, space between the canthuses and horizontal diameter of palpebral fissure; according to the measured data, designed the new point of canthus and new inclination angle of palpebral. Took the cutting around the eyelash. Cut the epicanthus parallel to the upper and lower eyelid to the new point of canthus. Separated the upper and lower eyelids, and sewed up the skins of the origi- nal and new points of canthus. Moved the upper and lower eyelids to the side direction. Cut the surplus skin and sewed up the incision. RESULTS Among 142 patients of this study,78 cases received the follow-up visit from 1 to 10 months, with good formation of new point of canthus, indistinct scar, longer palpebral fissure, basically equal between the horizontal diameter and the space between eyelids, and 8-10° inclination angle of palperal fissure. It met the esthetic standards. CONCLUSIONS The correction of epicanthus designed and implemented by the esthet- ic standards could achieve the little tissue trauma, indistinct scar and meet the esthetic standards of eyes well. It would be a good method for the correction of epicanthus.
出处
《中国中医眼科杂志》
2012年第3期210-211,共2页
China Journal of Chinese Ophthalmology
关键词
美学标准
内眦赘皮
aesthetic standards
epicanthus
