Yi So-Ki, Paik Hye-Won, Lee Paik-Kwon, Oh Deuk-Young, Rhie Jong-Won, Ahn Sang-Tae
Department of Plastic Surgery, College of Medicine, Catholic University of Korea, 505 Banpo-Dong, Seocho-Gu, Seoul, Korea.
Aesthetic Plast Surg. 2007 Jul-Aug;31(4):350-3. doi: 10.1007/s00266-006-0123-7.
Asian eyelids are characterized by the presence of an epicanthal fold and the absence of a supratarsal fold. Because many Asians desire wide, open, large eyes, elimination of the medial epicanthal fold along with double-eyelid operation frequently are performed for cosmetic improvement. Medial epicanthoplasty enhances the aesthetic result by lengthening the palpebral fissure horizontally, thus producing larger-looking, open eyes. This study describes the author's method for correcting the medial epicanthal fold.
Simple epicanthoplasty with minimal scar, the author's method, was performed to correct the epicanthal folds of 52 patients from December 2001 to August 2005 at the Catholic University of Korea Kangnam St. Mary's Hospital.
This technique yielded excellent results in terms of inconspicuous scar and long-lasting open medial canthal area during a 3-year follow-up period. Of the 52 patients, 2 showed a depressed scar on the lower eyelid, which was corrected satisfactorily.
Many procedures have been introduced to correct the epicanthal fold, but scarring or undercorrection remains as a dilemma for surgeons to overcome. Simple epicanthoplasty with minimal scar is a simple, easy-to-follow, and effective method that can be applied to various cases of medial epicanthal fold.
亚洲人的眼睑特点是存在内眦赘皮且无睑板上褶。由于许多亚洲人希望拥有又宽又大且睁开的眼睛，因此在内眦赘皮切除术的同时进行双眼皮手术以改善容貌的情况很常见。内眦成形术通过水平延长睑裂来提高美学效果，从而使眼睛看起来更大且睁开。本研究描述了作者矫正内眦赘皮的方法。
2001年12月至2005年8月期间，在韩国天主教大学江南圣母医院，采用作者的方法，即简单的、瘢痕最小化的内眦成形术，对52例患者的内眦赘皮进行矫正。
在3年的随访期内，该技术在瘢痕不明显以及内眦区域长期保持睁开方面取得了优异的效果。52例患者中，2例下眼睑出现凹陷性瘢痕，经满意矫正。
已经有多种矫正内眦赘皮的手术方法，但瘢痕形成或矫正不足仍然是外科医生需要克服的难题。简单的、瘢痕最小化的内眦成形术是一种简单、易于操作且有效的方法，可应用于各种内眦赘皮病例。
