摘要
目的:寻求一种简单有效的内眦赘皮矫治方法。方法:2001年至今采用改良内田法,即赘皮皮肤的V-W推进改形,加上新内眦点与鼻根外侧的筋膜或骨膜固定、松解皮下粘连、修整错构的眼轮匝肌等,全面治疗内眦赘皮48例。37例与重睑术同期进行。对照组5例,采用内田法治疗。结果:采用改良内田法矫治明显的内眦赘皮48例,术后效果满意。术后1个月有3例出现内眦部切口增生发红,3 ̄4个月后逐渐软化消退。所有病例随访1个月 ̄1年,与对照组内田法相比均获得满意疗效。结论:改良内田法手术切口设计简单明了,术后内眦形态良好,不易复发,瘢痕不显,是矫正内眦赘皮较理想的方法。
Objective:To find a simple and effective method for correcting epicanthic fold.Methods:The modified Uchida procedure was applied in 48 cases.It is a kind of V to W plasty of the epicanthic skin plus fixing the new canthus on the lateral nasal aponeurosis or periosteum.The subcutaneous excessive orbicularia oculi muscle is trimmed.All adhesion bands are subsequently released.Double eyelid operation was done at the same time in 37 cases.Control group include 5 cases who accepted Uchida procedure.Results:This modified Uchida procedure was applied for correcting epicanthic fold in 48 cases since 2001.Follow up periods ranged from 1 month to 1 year.3 cases developed redness in the epicanthic incisions one month after operation.The redness gradually disappeared within 3 to 4 months.Satisfactory results were obtained in all patients by modified Uchida procedure compared with control group.Conclusion:This modified Uchida procedure is effective for correcting the epicanthic fold.It is convenient, reliable and easy to perform.The incision scar is indistinct.
出处
《中日友好医院学报》
2005年第5期275-277,共3页
Journal of China-Japan Friendship Hospital
关键词
内眦赘皮
改良内田法
重睑术
epicanthic fold
modified Uchida procedure
double eyelid operation