A Modified Method Combining Z-Epicanthoplasty and Blepharoplasty to Develop Out-Fold Type Double Eyelids
A Modified Method Combining Z-Epicanthoplasty and Blepharoplasty to Develop Out-Fold Type Double Eyelids
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DOI：
10.1007/s00266-015-0604-7
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发表时间：
2016-02
影响因子：
2.4
通讯作者：
Jingyi Zhao;Zuoliang Qi;Xianlei Zong;Xiaonan Yang;Guodong Song;Le Du;Xiaolei Jin
中科院分区：
文献类型：
--
作者：
Jingyi Zhao;Zuoliang Qi;Xianlei Zong;Xiaonan Yang;Guodong Song;Le Du;Xiaolei Jin
研究背景内眦赘皮会削弱重睑成形术的效果，使亚洲女性喜欢的外折式重睑难以成形。眼睑整形术和Z型内眦赘皮整形术的结合越来越受欢迎。虽然在重睑成形术中有很多方法可以去除内眦赘皮，但仍存在一些手术并发症。从上眼睑到内眦去除一片皮肤，使内眦赘皮沿Z形成形术的垂直轴沿着起皱。上向外三角形皮瓣指向下睑缘而不是内眦。通过切断纤维组织和眼轮匝肌，使引起内眦赘皮的张力完全释放，因此，内眦韧带锚是不必要的，避免了对内眦的损伤。结果从2008年1月至2014年6月，这种改良的手术方法进行了1108例患者。112例患者在6至72个月的随访访视时接受了评价。其中2例重睑形成内褶型，110例形成外褶型。上睑外形自然对称，内眦及泪阜充分暴露，无明显瘢痕。结论该方法设计简单，操作方便。内眦和泪阜可以充分暴露，给人一种自然、光滑、西化、吸引人的感觉。该技术适用于亚洲女性所有类型的内眦赘皮。证据等级IV该期刊要求作者为每篇文章指定一个证据等级。有关这些循证医学评级的完整描述，请参阅目录或在线作者说明 www.springer.com/00266 .
BackgroundThe epicanthus can weaken the effect of blepharoplasty, which makes it difficult to form the out-fold type double eyelids preferred by Asian women. The integration of blepharoplasty and Z-epicanthoplasty has become increasingly popular. Although many techniques have been introduced to remove the epicanthus during blepharoplasty, there are still some surgical complications.MethodThis study aimed to evaluate the practicability and effectiveness of combining Z-epicanthoplasty and blepharoplasty. Removing a slice of skin from the upper eyelid to the inner canthus makes the epicanthus crease along the vertical axis of Z-plasty. The up-outward triangular flap points to the lower eyelid margin instead of the inner canthus. By cutting off the fibrous tissue and orbicularis oculi muscle, the tension that causes epicanthus is completely released; therefore, the inner canthus ligament anchor is unnecessary and avoids damage to the inner canthus.ResultFrom January 2008 to June 2014, this modified surgical method was carried out on 1108 patients. One hundred and twelve patients were evaluated at a follow-up visit ranging from 6 to 72 months. In 2 cases, the double-eyelid fold developed into an in-fold type, while, in 110 cases, it developed into an out-fold type. The outlines of the upper eyelids were natural and symmetric, and the inner canthus and lacrimal caruncle were fully exposed with no visible scar.ConclusionThis modified method is simple in design and practice. The inner canthus and lacrimal caruncle can be fully exposed, giving a natural, smooth, Westernized, appealing look. This technique is suitable for all types of epicanthus in Asian women.Level of Evidence IVThis journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .