Department of Plastic Surgery, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, 100191, People's Republic of China.
Aesthetic Plast Surg. 2018 Aug;42(4):1033-1038. doi: 10.1007/s00266-018-1175-1. Epub 2018 Jun 19.
The epicanthus, a lengthways cambered skinfold around the inner canthus, is particularly common in Orientals. The purpose of this study was to evaluate the surgical outcomes for patients with epicanthus after the application of a new surgical technique.
A total of 753 patients with epicanthus underwent epicanthoplasty in our hospital from October 2009 to March 2017 and were enrolled in this study. All patients were treated with upper arch flap combined with extended incision of the lower eyelid surgical method, and the effects of the surgery were assessed by photographic analysis and satisfaction surveys.
After the surgery, the eyelids of patients were elongated, and their inner canthi diameter was shortened without recurrence in the epicanthus. For 3.32% of the patients, there was a nonuniform edge thickness of the lower eyelid incision; for 8.23% of the patients, there was a slightly lighter skin color in the rest of quondam arch flap. Six months after the surgery, the incision scar was not obvious for all patients, and most of the patients (90.31%) were satisfied with the effect of the surgery.
The upper arch flap combined with extended incision of the lower eyelid surgical method, a simple and effective surgical correction method, obtained a good cosmetic result with more secluded scar and high satisfaction for patients with epiblepharon.
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内眦赘皮是一种位于内眦的长弧形皮肤褶皱，在东方人中尤为常见。本研究旨在评估一种新的手术技术应用于内眦赘皮患者的手术效果。
2009 年 10 月至 2017 年 3 月，我院共收治 753 例内眦赘皮患者，纳入本研究。所有患者均采用上睑弓瓣联合下睑延长切口手术方法进行治疗，并通过照片分析和满意度调查评估手术效果。
手术后，患者的眼睑变长，内眦直径缩短，内眦赘皮无复发。有 3.32%的患者下睑切口边缘厚度不均匀，有 8.23%的患者原弓状皮瓣的其余部分皮肤颜色略浅。术后 6 个月，所有患者的切口瘢痕均不明显，大部分患者（90.31%）对手术效果满意。
上睑弓瓣联合下睑延长切口手术方法是一种简单有效的手术矫正方法，对于内眦赘皮患者，该方法获得了良好的美容效果，瘢痕隐蔽，患者满意度高。
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