CAJ | 학술논문

目的探讨对不同类型内眦赘皮的合理处理方案.方法首先根据就诊者内眦赘皮的形态、程度及内眦间距情况进行诊断分类,然后采取相应的处理方法.下睑型、内眦型内眦赘皮及上睑型重度内眦赘皮采用改良Z字法;上睑型中度内眦赘皮采用一字法;上睑型轻度内眦赘皮,需行切开法矫正者采用一字法,另有2种情况可不做内眦区的切开手术:①内眦间距不宽行重睑成形术时;②内眦间距不宽行隆鼻术时.结果共66例内眦赘皮者通过采用以上分类及相应处理方法,全部病例手术切口愈合良好.术后随访3～12个月,内眦赘皮均完全矫正,泪阜显露适中,内眦角无明显瘢痕,弧度自然,形态良好,患者均感满意.结论根据内眦赘皮的形态、程度及内眦间距情况进行诊断分类,然后相应采用不同处理方法,是处理内眦赘皮比较合理的方案.
목적 탐토대불동류형내자췌피적합리처리방안.방법 수선근거취진자내자췌피적형태、정도급내자간거정황진행진단분류,연후채취상응적처리방법.하검형、내자형내자췌피급상검형중도내자췌피채용개량Z자법;상검형중도내자췌피채용일자법;상검형경도내자췌피,수행절개법교정자채용일자법,령유2충정황가불주내자구적절개수술:①내자간거불관행중검성형술시;②내자간거불관행륭비술시.결과 공66례내자췌피자통과채용이상분류급상응처리방법,전부병례수술절구유합량호.술후수방3～12개월,내자췌피균완전교정,루부현로괄중,내자각무명현반흔,호도자연,형태량호,환자균감만의.결론 근거내자췌피적형태、정도급내자간거정황진행진단분류,연후상응채용불동처리방법,시처리내자췌피비교합리적방안.
Objective To explore the reasonable therapeutic strategy for different types of epicanthus.Methods Patients with epicanthus were classificated according to the shape, extent and inner canthal distance and treated with different methods appropriately.Modified asymmetric Z plasty with two curve method was used in lower eyelid type epicanthus, inner canthus type epicanthus and severe upper eyelid type epicanthus.Moderate upper epicanthus underwent ‘-’ shape method.Mild upper epicanthus in two conditions which underwent nasal augumentation and double eyelid formation with normal inner canthal distance need no correction surgery.The other mild epicanthus underwent ‘-’ shape method.Results A total of 66 cases underwent the classification and the appropriate treatment.All wounds healed well.During 3 to 12 months follow-up period, all epicanthus were corrected completely with natural contour and unconspicuous scars.All patients were satisfied with the results.Conclusions Classification of epicanthus based on the shape, extent and inner canthal distance and correction with appropriate methods is a reasonable therapeutic strategy.