改良倒“L”法内眦赘皮矫正术联合切开法重睑术的临床应用

doi:10.3969/j.issn.1006-7795.2020.06.004

首都医科大学学报 ›› 2020, Vol. 41 ›› Issue (6): 887-890.doi: 10.3969/j.issn.1006-7795.2020.06.004

改良倒“L”法内眦赘皮矫正术联合切开法重睑术的临床应用

尹宏宇¹, 王川², 彭启立³, 崔磊^1,4*

1.首都医科大学附属北京世纪坛医院整形美容外科,北京 100038;
2.清华大学附属北京清华长庚医院整形外科, 北京 102218;
3.中国医学科学院整形外科医院颌面整形外科中心, 北京 100144;
4.首都医科大学附属北京世纪坛医院中心实验室,北京 100038

收稿日期:2020-08-20 出版日期:2020-12-21 发布日期:2021-01-18
基金资助:
国家自然科学基金(81471798),首都医科大学附属北京世纪坛医院中心实验室建设经费(2019-JS04)。

Clinical application of modified inverted L-shape epicanthus correction combined with double eyelid plasty

Yin Hongyu¹, Wang Chuan², Peng Qili³, Cui Lei^1,4*

1. Department of Plastic Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China;
2. Department of Plastic Surgery, Beijing Tsinghua Changgung Hospital of Tsinghua University, Beijing 102218, China;
3. Department of Maxillofacial Surgery, Plastic Surgery Hospital of Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100144, China;
4. Department of Central Laboratory, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China

Received:2020-08-20 Online:2020-12-21 Published:2021-01-18
Contact: * E-mail:cuilei8890@bjsjth.cn
Supported by:
National Natural Science Foundation of China (81471798), Enhancement Funding of Laboratory of Center, Beijing Shijitan Hospital, Capital Medical University (2019-JS04).

摘要/Abstract

摘要： 目的探讨改良倒“L”法内眦赘皮矫正术与切开法重睑术的联合切口设计在临床中的应用效果。方法自2018年1月至2020年1月,共有求美者358人,716只眼,均采用改良倒“L”法矫正内眦赘皮联合切开法重睑术进行手术治疗,倒“L”短臂与重睑切口相连续,长臂隐藏于下睑缘。术后6个月开始通过患者术后效果评价表(Patient Reported Outcome Measures,PROM)随访,最后对术后效果进行评价。结果 347位求美者对术后效果满意,11位求美者、15只眼出现了重睑或内眦形态不佳的问题,均予以二次手术修复,满意率达97%。结论本文设计的改良倒“L”法内眦赘皮矫正术与切开法重睑术的联合切口设计是一种简便实用、易于掌握的矫治单睑伴内眦赘皮方法,求美者满意度高,值得在临床推广应用。

关键词: 倒“L”法内眦赘皮矫正术, 切开法重睑术, 内眦赘皮, 单睑

Abstract: Objective To explore the clinical effect of the correction of epicanthus by the modified inverted L-shape epicanthoplastycombined with double eyelid surgery. Methods From January 2018 to January 2020, a total of 716 eyes of 358 patients had undergone the inverted L-shape epicanthoplasty and double eyelid plasty.The inverted “L” short arm was continuous with double eyelid incision, and the long arm was hidden in the lower eyelid margin. All the patients were followed up in 6 month after the operation using the PROM (Patient Reported Outcome Measures) to evaluate the outcomes. Results Totally 347 patients were satisfied with operation result. The contours of the eyelid fissure were smooth and natural, while the surgery scare was hidden naturally. 15 eyes in 11 patients had the poor morphology after operation of epicanthoplasty and double eyelid plasty, all of which were repaired with the second operation, and the satisfaction rate is 97%. Conclusion The inverted L-shape epicanthoplasty combined with double eyelid plasty we explored was an effective and practical method.

Key words: inverted L-shape epicanthoplasty, incision double eyelid plasty, epicanthus, single eyelid

中图分类号:

尹宏宇, 王川, 彭启立, 崔磊. 改良倒“L”法内眦赘皮矫正术联合切开法重睑术的临床应用[J]. 首都医科大学学报, 2020, 41(6): 887-890.

Yin Hongyu, Wang Chuan, Peng Qili, Cui Lei. Clinical application of modified inverted L-shape epicanthus correction combined with double eyelid plasty[J]. Journal of Capital Medical University, 2020, 41(6): 887-890.

参考文献

[1] 宋建星, 孙美庆, 陈江萍,等. 东方人内眦赘皮的解剖及治疗[J]. 中华医学美学美容杂志, 2001,7(5):27-29.
[2] 易成刚, 郭树忠, 张琳西,等. 汉族人重睑发生率的荟萃分析[J]. 中华医学美学美容杂志, 2004,10(6):370-372.
[3] Saonanon P. The new focus on epicanthoplasty for Asian eyelids[J]. Current Opin Ophthalmol, 2016,27(5):457-464.
[4] 郭鹏, 宋保强. 重睑成形术研究的新进展[J]. 中国美容整形外科杂志, 2019,30(1):57-59.
[5] Park J I, Park M S. Park Z-epicanthoplasty[J]. Facial Plast Surg Clin North Am, 2007,15(3):343-352.
[6] Wu S, Guo K, Xiao P, et al. Modifications of Z-epicanthoplasty combined with double-eyelid blepharoplasty in asians[J].Aesthetic Plast Surg, 2018,42(1):226-233.
[7] Zhao J, Qi Z, Zong X, et al. A modified method combining Z-epicanthoplasty and blepharoplasty to develop out-fold type double eyelids[J]. Aesthetic Plast Surg, 2016, 40(1): 48-53.
[8] Lee Y J, Baek R M, Song Y T, et al. Periciliary Y-V epicanthoplasty[J]. Annals of plastic surgery, 2006,56(3):274-278.
[9] 孙宗良, 徐静, 李光早,等. Y-V推进式改良新月形皮瓣去除法内眦赘皮矫正同期行重睑术的临床观察[J]. 中国美容医学, 2017,26(4):1-4.
[10]费孝庆. 改良倒“L”法矫正内眦赘皮联合重睑成形术的短期临床观察[J]. 临床眼科杂志, 2019,27(2):149-151.
[11]王飏, 柳大烈, 陈兵,等. 内眦韧带的解剖研究及其在内眦赘皮矫正术中的应用[J]. 中国美容医学, 2009,18(11):1635-1637.
[12]Lee Y, Lee E, Park W J. Anchor epicanthoplasty combined with out-fold type double eyelidplasty for Asians: do we have to make an additional scar to correct the Asian epicanthal fold?[J]. Plast Reconstr Surgery, 2000,105(5):1872-1880.
[13]冯越蹇, 张海明, 胡守舵,等. 内眦赘皮的分类及相应治疗方法探讨[J]. 中国美容医学, 2007,16(4):512-514.
[14]范俊田, 卢彬. 内眦赘皮成因及矫正术的进展[J]. 中国美容医学, 2013,22(12):1351-1353.

改良倒“L”法内眦赘皮矫正术联合切开法重睑术的临床应用

Clinical application of modified inverted L-shape epicanthus correction combined with double eyelid plasty

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