内眦赘皮矫正联合外眦成形术在睑裂短小患者中应用.docVIP

内眦赘皮矫正联合外眦成形术在睑裂短小患者中应用[摘要]目的：应用横一字形切口的内眦赘皮矫正术联合沿上睑缘弧度方向切开法的外眦成形术治疗睑裂短小患者，观察内外眦形态变化及瘢痕情况，结合患者满意度对临床效果进行综合评价。方法：内眦赘皮采用横一字形切开，皮下剥离显露内眦韧带，将内眦韧带向侧鼻筋膜进行缝合固定，缝合切口两端后酌情去除内眦处的多余皮肤。外眦处沿上睑缘的弧度方向切开，将球结膜缝合至切口外端的骨膜处。结果：本组24例患者，内眦赘皮消失，外眦较术前有2～3mm的延长。其中18例术后随访3个月～1年，术后内外眦处瘢痕不明显，形态稳定，效果满意。结论：横一字形内眦赘皮矫正术联合沿上睑缘弧度方向切口的外眦成形术治疗睑裂短小的患者，能够显著增加患者的睑裂长度，内外眦处瘢痕不明显，是治疗睑裂短小患者的有效方法。 [关键词]内眦赘皮；外眦成形术；眼裂短小 [中图分类号]R622 [文献标识码]A [文章编号]1008-6455（2012）05-0728-02 The combined application of inner and out canthoplasty in small palpebral fissure patients SHEN Jun-guo,CHANG Xiu-fen,BIAN Sen,GUO Hai-yan,DAI Jin-rong (Department of Plastic Surgery,Tangshan Jinrong Plastic and Aesthetic Hospital,Tangshan 063000,Hebei,China) Abstract: Objective To treat small palpebral fissure by inner and out canthoplasty with the transverse-one’s procedure and the incision along the direction of up-eyelid at the outer canthal,observe the shape change of inner and outer canthal. Methods Applying the transverse-one’s procedure to inner canthal,separated subcutaneous tissue and exposed the angular ligament，sutured the angular ligament and the lateral nasal fascia for fixing.After suturing the two ends of the incision,cut off the extra skin，made an incision along the direction of the up-eyelid to the outer canthal and sutured the conjunctival to the periosteal of the outer end of the incision. Results All 24 cases of redundant skin of internal canthus disappeared or improved greatly and external canthus extended 2～3mm.18 cases in 24 were followed up 3months to 1 year. No obvious scar,shape stable,and the effect were satisfactory. Conclusion The transverse-one’s procedure and the incision along the direction of up-eyelid at the outer canthal can extend the length of the palpebral fissure significantly.No obvious scar at inner and outer canthal and it is an effective approach to treat small palpebral fissure. Key words:epicanthus;outer canthoplasty;small palpebral fissure 在临床工作中，笔者发现一些患者如果单纯对内眦赘皮进行矫正，无法使睑裂达