摘要
目的解决内眦赘皮矫正术后的复发及切口瘢痕增生。方法采用传统的“Z”形切口矫正内眦赘皮的皮肤排列顺序,将新建内眦角的皮肤和眼轮匝肌固定于内眦韧带上,使新建的内眦角具有正常的解剖结构。结果自2001年8月至2004年1月,对125例内眦赘皮的患者用此方法矫治,效果满意。术后对30例患者随访1周至1年,结果内眦形态自然,无复发及瘢痕遗留。术后1周拆线时,切口瘢痕呈线状,周围肿胀,1个月时切口瘢痕较明显,3个月时切口无瘢痕。结论在内眦赘皮矫正术中,将新建内眦点的眼轮匝肌和皮肤,固定在内眦韧带上,能够使新建内眦点具有正常的解剖结构,避免内眦赘皮复发及切口瘢痕。此种方法适用于多数内眦赘皮的患者。
Objective To search a kind of method to solve the recrudescence and the scar hyperplasia after the epicanthoplasty. Methods Canthoplasties were performed by cutting canthus in ＂Z - shape＂ to correct the arrange of skin with epicanthus and fix the orbiculsris oculi muscle and derma of the epicanthus on the medial cantho - ligament to rebuilt a new medial cantho with natural anatomic structure. Results From 2001.8 to 2004.1, we had performed 125 epicanthop lasties. Satisfactory results were obtained. After 12 months following up, we find the rebuiled canthus with natural contour were obtained with no recrudescence and scars, there was tumescence around the scar line after taking out the stitches at 1 week postoperatively, the tumescence was the most obvious at 1 month postoperatively, the scar and tumescence were diapeared at 3 months postoperatively. Conclusion By fixing of orbiculsris oculi muscle and derma of the medial canthus with canthal ligament, the newly - built canthus had the natural anatomic structure, and there was no recrudescence and scars.
出处
《中国美容整形外科杂志》
CAS
2006年第6期441-442,共2页
Chinese Journal of Aesthetic and Plastic Surgery
