Department of Plastic Surgery, Korea University College of Medicine, Seoul, Republic of Korea.
BioPlastic Surgery Clinic, Seoul, Republic of Korea.
J Plast Reconstr Aesthet Surg. 2020 Feb;73(2):363-368. doi: 10.1016/j.bjps.2019.07.013. Epub 2019 Aug 7.
Since the 1900s, many methods have been developed to correct the epicanthal fold. Increased use of epicanthoplasty has yielded unsatisfactory results.
To describe a method of epicanthal fold reconstruction using V-Y advancement and turnover flap for clinical application. This method is simpler than conventional surgery. It is easy to perform with excellent esthetic results.
The authors performed medial epicanthal fold reconstruction in 82 patients (16 males and 66 females) between April 2014 and September 2017. All patients enrolled in this retrospective study underwent surgical procedures at the authors' institution. Interepicanthal distance was the distance between medial epicanthal folds. It was measured with a surgical ruler.
Before surgery, mean interepicanthal distance was 35.4 mm. Using our surgical technique, successful outcome was achieved in 79 (96.3%) patients with satisfactory results. The mean distance between the medial epicanthi post-surgery was 38.6 mm, increasing the total length by 3.2 mm without showing any major postsurgical complications.
Epicanthal fold reconstruction using V-Y advancement and turnover flap is a simple and effective technique that can readily improve the frontal view. It improves periorbital contouring, makes eyes look natural without fully showing the caruncle, and yields excellent esthetic results. In particular, there were no major visible scars following eversion suture.
自 20 世纪以来，已经开发出许多方法来矫正内眦赘皮。内眦成形术的广泛应用导致了不满意的结果。
描述一种使用 V-Y 推进和翻转皮瓣进行内眦赘皮重建的方法，用于临床应用。这种方法比传统手术更简单。它易于操作，具有极好的美学效果。
作者在 2014 年 4 月至 2017 年 9 月期间对 82 例患者（16 名男性和 66 名女性）进行了内侧内眦赘皮重建。所有入组的患者均在作者所在机构接受了手术。内眦间距是内眦赘皮之间的距离。使用手术标尺进行测量。
术前，平均内眦间距为 35.4mm。采用我们的手术技术，79 例（96.3%）患者获得了成功的结果，结果令人满意。术后内眦的平均距离为 38.6mm，总长度增加了 3.2mm，且没有出现任何重大术后并发症。
使用 V-Y 推进和翻转皮瓣进行内眦赘皮重建是一种简单有效的技术，可以很容易地改善正面外观。它改善了眶周轮廓，使眼睛看起来自然，而不会完全露出肉阜，并获得了极好的美学效果。特别是，外翻缝合后没有明显的可见疤痕。
