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目的探索改良“△”皮瓣切除法矫正内眦赘皮的临床效果。方法自2010年5月至2015年6月,对168例内眦赘皮应用改良的“△”皮瓣切除法进行矫正。在原内眦点A与新内眦点C间设计等待切除的“△ABC”皮瓣并切除,分离皮下的纤维结缔组织,离断错构、错位的眼轮匝肌,使皮肤自然回位。沿着内眦角的睑下缘延长CA至D点,D点根据内眦赘皮的程度灵活确定。分离AD、AC两侧的皮肤及皮下组织,∠DCB、∠DAB修剪成为略圆钝状,直接缝合A、C两点成新内眦点,BA与BC缝合,CD与AD缝合。结果所有求美者泪阜大部分显露,睑裂变长、双内眦间距缩短、内眦角圆钝、外眦角上翘。术后随访3个月到1年,内眦赘皮得到完全矫正,美观自然,无复发,切口瘢痕不明显,效果满意。结论改良“△”皮瓣切除法矫正内眦赘皮是一种设计简单,术后效果好、切口瘢痕不明显手术方法,值得临床推广。
Objective To explore the clinical effect of modified “△” flap excision to correct epicanthus. Methods From May 2010 to June 2015, 168 cases of epicanthus were modified with modified “△” flap excision method. In the original internal fixation point A and new internal fixation point C design waiting for removal of the “ABC” flap and excision, separation of subcutaneous fibrous connective tissue, off the wrong structure, dislocation of the orbicularis oculi muscle, the natural skin back Bit. CA extends along the lower edge of the medial cavern to point D, and D is flexibly defined by the extent of epicanthosis. Separation of AD, AC on both sides of the skin and subcutaneous tissue, ∠ DCB, ∠ DAB pruning into a slightly rounded shape, direct suture A, C two points into a new infight point, BA and BC suture, CD and AD suture. Results All the United States tears Fu revealed most of the time, palpebral fissure becomes long, shortened within the double-breed, internal blunt angle blunt, outer 眦 angle upturned. Follow-up 3 months to 1 year after surgery, epicanthus was completely corrected, beautiful and natural, no recurrence, incision scar was not obvious, the results satisfactory. Conclusion The modified “△” flap resection method to correct epicanthus is a simple design, good postoperative effect, incision scar is not obvious surgical methods, is worth clinical promotion.