CAJ | 학술논문

目的探索重睑术同期内眦赘皮矫正术中"Z"成形的合理应用.方法常规设计重睑线,向新旧内眦定点自然延伸,形成夹角作为"Z"的上瓣,由旧内眦点向外作平行于下睑缘的线,形成夹角包含内眦作为"Z"的下瓣.自1999年10月至2008年7月,共对184例患者进行了手术.结果本组184例患者,术后均Ⅰ期愈合.125例获随访6～36个月,患者的重睑形态为近似平行形重睑,内眦赘皮消失,瘢痕隐蔽,手术效果满意,无复发.结论包含内眦角的"Z"成形与重睑成形术同期进行,方法合理,简便易行,手术效果确切.
목적 탐색중검술동기내자췌피교정술중"Z"성형적합리응용.방법 상규설계중검선,향신구내자정점자연연신,형성협각작위"Z"적상판,유구내자점향외작평행우하검연적선,형성협각포함내자작위"Z"적하판.자1999년10월지2008년7월,공대184례환자진행료수술.결과 본조184례환자,술후균Ⅰ기유합.125례획수방6～36개월,환자적중검형태위근사평행형중검,내자췌피소실,반흔은폐,수술효과만의,무복발.결론 포함내자각적"Z"성형여중검성형술동기진행,방법 합리,간편역행,수술효과학절.
Objective To explore the reasonable application of Z-plasty in the diorthosis of epicanthal fold with double eyelid simultaneously. Methods The upper eyelid crease was designed as routine, then respectively ex-tent to the original and subsequent canthus. The include angle became the upper tlap of Z-plasty. A hne was drawn from the old canthus to the point, which was paralld to the margin of lower eyelid. The included angulus oculi me-dialis was the inferior flap of Z-plasty. From Octomber 1999 to July 2008, 184 patients with epicanthus underwent this procedure. Results All the 184 cases gained primary healing postoperatively. Based on the follow-up for 6～36 months on 125 cases, satisfactory results were obtained. The shape of upper eyelid fold was similar to the parallel type. The epicanthus was corrected completely and permanently without obvious scar. Conclusion The method for Z-epicanthoplasty with double eyelidplasty simultaneously is effective, convenient and reliable.