横一字切开法内眦赘皮矫正术

目的探索一种简便有效的内眦赘皮矫正术式——横一字切开法内眦赘皮矫正术，使术后内眦赘皮消失，切口瘢痕不明显，外形美观。方法向鼻侧牵拉内眦部皮肤，完全显露原内眦角和泪阜，然后放松皮肤确定原内眦角在皮肤表面的投影点为新的内眦点，由此点向赘皮游离缘水平切开，切口线呈一字继续沿下睑睫毛缘下约2mm，向外延伸5～10mm。分离切口下方约10mm×10mm范围的皮肤，使皮肤呈自然舒展状态，剪除内眦赘皮下方部分错构的眼轮匝肌、内眦韧带及增厚的筋膜组织，将原内眦角与鼻侧腱膜缝合固定1针，无需修整皮肤，切口在无张力下缝合。结果65例采用横一字切开法行内眦赘皮矫正，经1个月至1年的随访，内眦赘皮消失，内眦角形态自然，泪阜显露充分，眼裂增长，瘢痕不明显，术后效果满意。结论采用横一字切开法矫治内眦赘皮，设计简单，操作容易，组织创伤小，瘢痕不明显，术后内眦形态良好，无复发，是矫正内眦赘皮效果可靠的方法之一。

Correction of epicanthus by transverse-one's procedure

Objective To explore a simple and effective epicanthoplasty.Methods A total of 65 cases were corrected by incising the epicanthus levelly,extending the incision along the lower palpebral margin,separating the skin about 1 cm×1 cm scope below incision,cutting off part of the orbicularis and epicanthus ligament,fixing epicanthus angle to nasal aponeurosis,and suturing the incision without tension.Results All the cases corrected by the transverse-one's procedure were followup one month to one year,and satisfactory results obtained.Conclusion This method is a simple and effective epicanthoplasty with less tissue damage and good appearance.