Cho Byung Chae, Lee Kyung Young
Department of Plastic and Reconstructive Surgery, Kyungpook National University Hospital, Sanduk 2 ga, 50, Taegu 700-721, Korea.
Plast Reconstr Surg. 2002 Jul;110(1):293-300; discussion 301. doi: 10.1097/00006534-200207000-00049.
The authors present a new technique for the correction of the medial epicanthal fold using the Y-W-plasty or inverted Y-V-plasty combined with plication of the medial canthal tendon. From January of 1996 to April of 2001, 10 patients with epicanthal folds received a medial epicanthoplasty combined with plication of the medial canthal tendon. The patients ranged in age from 20 to 49 years (average, 27.3 years). Eight patients with epicanthal folds received the Y-W-plasty with plication of the medial canthal tendon. Two patients were operated by inverted Y-V-plasty. The follow-up period ranged from 5 months to 2 years. Neither injury of the lacrimal apparatus nor asymmetry of the eyes was noted. Fibrosis and redness of the operated scar was noted in the first 2 to 3 months. However, the scar maturated by 3 months in all patients, and the hypertrophic scar was unnoticeable in all patients. Two key modifications of this technique are plication of the outer leaflet of the medial canthal ligament and lateral advancement of the central triangular flap. These modifications remarkably reduce the tension along the skin suture line. This method is very effective for the correction of the moderate-to-severe epicanthal fold. In addition, these modifications can be applied in most other medial epicanthoplasty techniques.
作者介绍了一种使用Y-W成形术或倒Y-V成形术联合内眦韧带折叠术来矫正内眦赘皮的新技术。1996年1月至2001年4月，10例有内眦赘皮的患者接受了内眦成形术联合内眦韧带折叠术。患者年龄在20至49岁之间（平均27.3岁）。8例有内眦赘皮的患者接受了Y-W成形术联合内眦韧带折叠术。2例患者接受了倒Y-V成形术。随访期为5个月至2年。未发现泪器损伤或双眼不对称情况。术后最初2至3个月可见手术瘢痕纤维化和发红。然而，所有患者的瘢痕在3个月时成熟，且所有患者均未出现增生性瘢痕。该技术的两个关键改进是内眦韧带外叶折叠和中央三角形皮瓣向外推进。这些改进显著降低了皮肤缝合线处的张力。该方法对于矫正中重度内眦赘皮非常有效。此外，这些改进可应用于大多数其他内眦成形术技术。
