Division of Plastic and Reconstructive Surgery, Department of Surgery, Kaohsiung Medical University Hospital, 100 Shih-Chuan 1st Road, Kaohsiung 807, Taiwan.
J Plast Reconstr Aesthet Surg. 2012 Sep;65(9):1182-7. doi: 10.1016/j.bjps.2011.12.038. Epub 2012 Jun 30.
The presence of epicanthal folds is a unique appearance in the eyelids of Asians. Various medial epicanthoplasty techniques have been discussed to achieve a better aesthetic result. Owing to the complexity of the surgery, a design based on anatomic variations of the epicanthal fold is imperative. From September 2006 to November 2010, the author performed medial epicanthoplasty procedures on 86 Asian patients. The whole procedure, including discrepant Z skin incision, myotomy and the plication of the medial canthal ligament (MCL), was performed layer by layer. The inner canthal distance (ICD) was measured and calculated by software ImageJ before and 3 months after surgery. All patients were satisfied with the long-term results and there were no recurrences of the epicanthal fold. The shortening ratios of the ICD ranged from 7.2% to 13.7% (average 10.78%) in the group without the plication of the MCL (57/86). In addition, the ICD shortening ratio ranged from 9.1% to 17.7% (average 15.66%) in the group with the MCL plication (29/86). The technique we described is aimed to correct layered structures including skin, muscle and the MCL of the medial epicanthus. Satisfactory results were ideally achieved with finer scar and natural cosmetic appearance in this series.
内眦赘皮褶皱是亚洲人眼睑的独特外观。为了达到更好的美学效果，已经讨论了各种内眦成形术技术。由于手术的复杂性，基于内眦褶皱解剖变异的设计是必不可少的。自 2006 年 9 月至 2010 年 11 月，作者对 86 例亚洲患者进行了内眦成形术。整个手术过程包括差异 Z 皮肤切口、肌切开术和内眦韧带 (MCL) 的缝合，均分层进行。在手术前和手术后 3 个月，使用 ImageJ 软件测量并计算内眦间距 (ICD)。所有患者对长期结果均满意，且无内眦赘皮复发。未行 MCL 缝合组 (57/86) 的 ICD 缩短率为 7.2%至 13.7%（平均 10.78%）。此外，行 MCL 缝合组 (29/86) 的 ICD 缩短率为 9.1%至 17.7%（平均 15.66%）。我们描述的技术旨在纠正包括皮肤、肌肉和内眦 MCL 的分层结构。在本系列中，通过更精细的疤痕和自然美容外观，理想地达到了令人满意的效果。
