Epicanthal fold correction: Our experience and comparison among three kinds of epicanthoplasties
Epicanthal fold correction: Our experience and comparison among three kinds of epicanthoplasties
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DOI：
10.1016/j.bjps.2013.01.028
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发表时间：
2013-05-01
影响因子：
2.7
通讯作者：
Wang, Xi
中科院分区：
文献类型：
--
作者：
Wang, Shoubao;Shi, Feifei;Wang, Xi
内眦褶是亚洲人特有的，它形成一个网，覆盖在内眦上。它经常损害眼睑的美丽和在亚洲人中流行的双眼皮眼袋整形术的结果。虽然已经报道了许多外科手术，但其中大多数仅描述了一种技术。对各种技术进行比较，有助于形成内眦赘皮治疗的普遍接受的算法或共识。本文介绍三种内眦赘皮成形术：水平切口法、Z成形术和V-W成形术，并对三种手术方法进行详细的比较。2005年至2011年，作者共施行内眦赘皮成形术252例，其中220例同时行重睑术。术式的选择是基于术前对内眦赘皮严重程度的评估。大多数轻度内眦赘皮采用水平切开法。中度病例以Z成形术为主，重度病例以V-W成形术为主。除了内眦区的皮肤重排外，下方的眼轮匝肌和厚的皮下组织也需要治疗才能有效松解。对术后瘢痕形成程度和内眦赘皮矫正情况进行了回顾性分析。这三种方法均取得了满意的远期效果，皮肤皱褶减轻，上睑皱褶形成。未观察到完全复发。横切口瘢痕不明显，V-W成形术瘢痕较明显。12例患者观察到持续性增生性瘢痕，注射得宝松后逐渐消退。结论：术前评估皮褶的严重程度，合理选择手术方法，认真实施手术，是有效矫正内眦赘皮的关键。(C)2013年英国整形、重建和美容外科医生协会。由爱思唯尔有限公司出版。保留所有权利。
Epicanthal fold, which is unique to Asian population, forms a web across and covering the medial canthus. It often impairs the beauty of the eyelids and the outcome of double-eyelid blepharoplasty that is popular in Asians. Although many surgical procedures have been reported, most of them were only description of a single technique. Comparison among techniques will help form universally accepted algorithm or consensus in epicanthus treatment. We want to present our experience of three kinds of epicanthoplasties: horizontal incision method, Z-plasty and V-W plasty and a detailed comparison among these surgical techniques. From 2005 to 2011, the authors had performed epicanthoplasties in 252 cases, in which 220 cases simultaneously underwent a double-eyelid surgery. The choice of technique was based on presurgical evaluation of severity of epicanthal fold. Horizontal incisionmethodwas used for majority of mild epicanthal fold. Z-plasty mainly applied to moderate cases and V-W plasty was chosen for severe ones. In addition to skin rearrangement in medial canthic region, underlying orbicularis oculi muscle and thick subcutaneous tissue also needed treatment for effective release. The degree of postoperative scarring and epicanthal fold correction were reviewed. All these three methods produced satisfactory long-term results with alleviation of the skinfold and formation of vivid upper eyelid crease. No complete recurrence was observed. Horizontal incision method left an inconspicuous scar and V-W plasty might cause a relatively obvious scar. Persistent hypertrophic scars were observed in 12 patients and gradually faded after injection of diprospan. In conclusion, preoperative evaluation of skinfold severity, making a rational choice and careful implementation of surgical technique available are important in effective correction of epicanthal fold. (C) 2013 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.