CAJ | 학술논문

目的探讨一种操作简单、瘢痕隐蔽、适用于各型内眦赘皮的矫正都可获得较好效果的手术方法.方法依据近年来对于内眦赘皮病理解剖结构研究,认为内眦赘皮主要是由于上下睑眼轮匝肌于内眦韧带起始部位的错位,并影响皮肤的形态所形成,而并非是单纯的皮肤多余.以此研究成果为指导,设计了松解内眦皮肤与服轮匝肌的粘连以及矫正内眦部位眼轮匝肌错位的矫治术式,即皮瓣松解加眼轮匝肌离断法.结果共矫治内眦赘皮57例,术后内眦部形态美观,眼裂增宽,瘢痕不明显,患者和医者都较满意.结论所设计术式适应范围较广,对矫治各型内眦赘皮皆能适用,效果较好.
목적 탐토일충조작간단、반흔은폐、괄용우각형내자췌피적교정도가획득교호효과적수술방법.방법 의거근년래대우내자췌피병리해부결구연구,인위내자췌피주요시유우상하검안륜잡기우내자인대기시부위적착위,병영향피부적형태소형성,이병비시단순적피부다여.이차연구성과위지도,설계료송해내자피부여복륜잡기적점련이급교정내자부위안륜잡기착위적교치술식,즉피판송해가안륜잡기리단법.결과 공교치내자췌피57례,술후내자부형태미관,안렬증관,반흔불명현,환자화의자도교만의.결론 소설계술식괄응범위교엄,대교치각형내자췌피개능괄용,효과교호.
Objective To explore a new simple epicanthoplasty method fit for various types of epicanthus with inconspicuous scar after operation.Methods As the latest studies showed that the anatomical structure of epicanthus is mainly due to the eyelid orbicularis muscle's dislocation at the starting point of the medial canthal tendon,which affects the skin appearance,rather than the traditional view that was merely the excess skin,we released the adhesions between the skin and the inner canthus orbicularis muscle,and corrected the dislocation of orbicularis muscle that was key to the operation,incised along with the line A′→B→A″→ C in the field of interior canthus,separated the subcutaneous fascia tissue,relaxed the subcutaneous fibrous cord,disconnect the orbicularis muscle's attachment point in the inner canthal fold,and then sutured and folded the inner canthal ligament.After sewing up point A′ and point A″,the released skin retracted naturally and formed a new inner canthal contour.Results From June 2008 to June 2009,57 cases of epicanthus patients accepted this surgery.After operation,the appearance of canthus was nice.Eye fissure got widen,and the scar was not obvious.Also there was a high satisfactory rate.Conclusions This method has a broad range of applications.It is suitable for various types of epicanthus correction.