重睑联合内眦赘皮矫正及外眦开大术的疗效观察

目的重睑术的同时行内眦赘皮矫正及外眦开大术,观察睑裂开大的效果。方法内眦赘皮采用改良横切纵缝法矫正,外眦开大采用上睑皮瓣与下睑结膜瓣交叉的方法。重睑手术采用切开的方法,重睑切口与内外眦切口均不连续。结果本组20例患者,内眦赘皮消失,内眦较术前开大5~8 mm,外眦开大2~3 mm,睑裂明显开大。术后随访1~2年,内、外眦处瘢痕不明显,睑裂开大效果稳定,患者满意。结论重睑联合内眦赘皮矫正及外眦开大术,能显著增加睑裂的长度及宽度,而且内、外眦处瘢痕不明显,美容效果良好。

The Effect of Widening Palpebral Fissure by Double-folded Blepharoplasty Combining with Epicanthoplasty and Lateral Canthoplasty

Objective To observe the effect of widening palpebral fissure by double-folded blepharoplasty combining with epicanthoplasty and lateral canthoplasty. Methods Epicanthus was corrected by modified method of transection and longitudinal suture, and lateral canthoplasty was carried out by upper palpebral flap crossing lower eyelid conjunctiva flap. Double-folded blepharoplasty used the method of incision and the incisions of double eyelid, inner and outer canthus were not connected. Results In 20 patients, epicanthus was disappeared, inner canthus and out canthus were respectively 5-8 mm and 2-3 mm wider after operation, and palpebral fissure obviously opened. The follow-up period ranged from 1 to 2 years. The effect of widening palpebral fissure kept stable with inconspicuous scar in inner and outer canthus. Conclusion Double-folded blepharoplasty combining with epicanthoplasty and lateral canthoplasty can significantly increase the length and width of palpebral fissure with inconspicuous scar in inner and outer canthus, and is an effective method to widen the palpebral fissure.