摘要
目的探讨五瓣法在内眦赘皮矫正术的临床效果.方法2009年5月至2016年7月,收集佛山市顺德贝尔美美容医院美容外科等医院内眦赘皮矫正术39例,男2例,女37例,年龄18~55岁,平均32岁.对单睑伴有内眦赘皮及单纯内眦赘皮患者采用五瓣法矫正内眦赘皮联合重睑成形术或单纯五瓣法矫正内眦赘皮,术后随访2周至10年.结果39例患者手术切口均一期愈合,无三角瓣坏死.术后2周至3个月,内眦有轻微瘢痕增生.术后3个月后,瘢痕增生反应消退,无并发症,无明显瘢痕,内眦赘皮矫正,内眦角形态自然,内眦间距明显缩窄,双侧睑裂长度增加,重睑形态自然,与内眦部衔接顺畅自然.结论五瓣法矫正内眦赘皮通过延长赘皮主轴线的长度,有效缓解内眦部皮肤张力,使内眦角充分暴露,睑裂横径加大,同时避免内眦部弧线瘢痕挛缩.
Objective To explore the clinical application of five flaps method in epicanthus cor-rection.Methods From May 2009 to July 2016,39 surgical cases were collected,including 2 males and 37 females,aged 18-55 years,with an average age of 32 years.Patients with single eyelid accom-panied by epicanthus and epicanthus alone were treated with the five-flap method to correct epicanthus combined with double eyelid plasty or the five-flap method to correct epicanthus.Postoperative follow-up was conducted for 2 weeks to 10 years.Results All incisions healed in one stage without triangular flap necrosis.From 2 weeks to 3 months after operation,the medial canthus had slight scar hyperpla-sia reaction.Three months after operation,the scar hyperplasia reaction subsided without complica-tions,no obvious scar,epicanthus correction,natural shape of the inner canthus angle,obvious narro-wing of the distance between the inner canthus,and increased length of bilateral eyelid fissure.The eyelid shape was natural,and the inner canthus connected smoothly and naturally.Conclusions Five flap method for correction of epicanthus can effectively alleviate the tension of epicanthus skin by lengthening the main axis of epicanthus,relax the tension-free crossjoint of local tissues,relieve epi-canthus,fully expose the angle of epicanthus,enlarge the transverse diameter of palpebral fissure,and avoid contracture of arc scar of epicanthus.
作者
侯文明
宗利丽
吴丹
王玉凤
Hou Wenming;Zong Lili;Wu Dan;Wang Yufeng(Shunde Baremeii Medical Beauty Hospital,Foshan 528303,China;Centre of Women and Chil-dren,the First Affiliated Hospital,Guangzhou University of Chinese Medicine,Guangzhou 510405,China;De partment of Gynecology and Obstetrics,Guangzhou Red Cross Hospital,Guan-gzhou 510220,China)
出处
《中华医学美学美容杂志》
2020年第2期109-112,I0001,共5页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
眼部
修复外科手术
内眦赘皮
五瓣法
畸形矫正
Eye
Reconstructive surgical procedures
Epicanthus
Five flap method
Z-plasty
