CAJ | 학술논문

目的探索一种效果满意持久,术后遗留瘢痕基本不明显的内眦赘皮矫正手术.方法先在内眦角设计V形切口线,距睑缘1～2 mm,向原内眦角顶点A会合,然后从A点向内眦角上方弧形延伸4～8 mm(依内眦赘皮程度而定)呈Y形,行Y-V内眦成形术.结果 98例中,82例获半年至2年随访,81例愈合,瘢痕不明显,效果稳定,l例矫治不全.结论本术式设计、操作简单,容易掌握、推广.术后不易复发,且瘢痕基本不显.
목적 탐색일충효과만의지구,술후유류반흔기본불명현적내자췌피교정수술.방법 선재내자각설계V형절구선,거검연1～2 mm,향원내자각정점A회합,연후종A점향내자각상방호형연신4～8 mm(의내자췌피정도이정)정Y형,행Y-V내자성형술.결과 98례중,82례획반년지2년수방,81례유합,반흔불명현,효과은정,l례교치불전.결론 본술식설계、조작간단,용역장악、추엄.술후불역복발,차반흔기본불현.
Objective To explore an epicanthoplasty with good effect and small scar. Methods A V shape incision was designed in medial canthus and the two lines: point A is the top point of medial canthus and point A' is the top point of new medial canthus. The length of line AA' is about 4 to 8 mm according to the medial canthus and th incision is Y shape, and then Y-V epicanthoplasty is raised and enlarged. Results From January 2005 to December 2008, 98 cases were treated with this method to eliminate the medial epicanthal fold of the upper eyelid with simple procedures. Scarring of the medial canthal area had not been a problem with this technique because we designed incisions along the eyelashes and skin-mucosal junctions. By raising the point of new medial canthus to physiological position the angle of medial canthus was enlarged to reveal a lacrimal lake. Conclusion This technique is a simple, easy procedures with no visible scar.