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应用横一字形切口和眼袋切口相结合矫正内眦赘皮减少术后瘢痕的形成

Application of Transverse Incision Combined with and Pouch Incision in Correction of Epicanthus Reducing Postoperative Scar formation

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【作者】 沈清俐

【Author】 SHEN Qingli(Department of Plastic Surgery,Harbin 242 Hospital,Harbin 150066,China)

【机构】 哈尔滨二四二医院整形美容科

【摘要】 目的:应用横一字形切口并结合眼袋切口矫正内眦赘皮及重睑成形术,观察重睑形态及内眦赘皮矫正后瘢痕增生情况。方法:设计连接新内眦点与原内眦点及下睑缘切口标记线,呈横一字形切口,皮下分离并松解错位异构的眼轮匝肌,折叠缝合内眦韧带,同时常规行切开法重睑术,适度去除多余皮肤并妥善对位缝合。结果:29例患者,共58只眼,其中有3只左眼和1只右眼在1个月左右出现内眦部略微有发红、增生,3个月后均软化消退,18个月后随访患者均未见明显瘢痕出现。结论:应用横一字形切口并结合眼袋切口是矫正内眦赘皮简单有效的方法。

【Abstract】 Objective:To observe the double eyelid morphology and scar hyperplasia in correction of epicanthus,applicated transverse incision method combined with pouch incision for correction of epicanthus and double blepharoplasty.Methods:The transverse straight-line incision was performed in new inner canthus to the original eanthal corner point;after the original inner canthus corner point was reached,the oblique-line parallel incision was performed along the lower eyelid so that full subcu-taneous separation was obtained on the upper and lower incision;the malpositioned isomerous orbicu-lar muscle and thickened tissue were released and excised so that the epicanthus skin was naturally restored;routine double eye-lid plasty was then performed,but the double eyelid and the inner canthus incisions were not continuous.Results:29 patients(58 eyes) including 3 left and 1 right around 1 months appear slightly redness and hyperplasia inside canthus,they were softening subsided after 3 months.Followed-up after 18 months,the scars were not obvious for all patients.Conclusions:The epicanthus correction by transverse incision combined with pouch incision is a simple and effective method.

【关键词】 横一字形切口内眦赘皮
【Key words】 transverse incisionepicanthus
  • 【文献出处】 航空航天医学杂志 ,Journal of Aerospace Medicine , 编辑部邮箱 ,2012年12期
  • 【分类号】R779.6
  • 【下载频次】71
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