Li Gaofeng, Fu Anqi, Zhang Bo, Ding Wei, Ouyang Huawei, Xu Suqi, Long Xiren, Liu Xiaojia
Department of Plastic and Cosmetic Surgery, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha, Hunan Province P.R. China.
JPRAS Open. 2022 Mar 17;33:57-62. doi: 10.1016/j.jpra.2022.02.012. eCollection 2022 Sep.
The study aimed to explore the clinical efficacy of the modified asymmetric Z-plasty with a central axis from the point near the edge of the skin fold of the medial canthus to the point of the innermost palpebral edge of medial canthus for epicanthus correction. A total of 130 followed-up patients who received modified asymmetric Z-plasty for epicanthus correction in Hunan Provincial People's Hospital from January 2019 to December 2019 were included. All patients were followed up with at 1, 3, and 6 months after surgery, and the scarring and surgical outcomes were assessed. The results showed the surgical wounds were healing well, and the sutures were removed at 7 days postoperatively in all patients. At 6 months postoperatively, epicanthus correction was successful in all patients, the lacrimal caruncle was moderately exposed, the incision was not red, and there were no obvious prominent scars. Slightly prominent and uneven scars below the edge of the lower eyelid were observed in 3 patients. Among these 3 patients, 1 patient received no further treatment, and the outcomes were considered acceptable; the outcomes were improved in the remaining 2 patients after a single session of fractional laser treatment, and none of these patients received further surgery. In conclusion, he modified asymmetric Z-plasty with a central axis from the point near the edge of the skin fold of the medial canthus to the point of the innermost palpebral edge of medial canthus is relatively simple and provides good surgical results for epicanthus correction.
本研究旨在探讨改良不对称Z成形术（中轴线从内眦皮肤皱襞边缘附近的点至内眦最内侧睑缘的点）矫正内眦赘皮的临床疗效。纳入2019年1月至2019年12月在湖南省人民医院接受改良不对称Z成形术矫正内眦赘皮的130例随访患者。所有患者在术后1个月、3个月和6个月进行随访，并评估瘢痕形成情况和手术效果。结果显示手术伤口愈合良好，所有患者术后7天拆线。术后6个月，所有患者内眦赘皮矫正成功，泪阜适度暴露，切口无红肿，无明显突出瘢痕。3例患者下睑缘下方有轻微突出且不均匀的瘢痕。在这3例患者中，1例未接受进一步治疗，结果被认为可接受；其余2例患者经单次剥脱性激光治疗后效果改善，均未接受进一步手术。总之，中轴线从内眦皮肤皱襞边缘附近的点至内眦最内侧睑缘的点的改良不对称Z成形术相对简单，为内眦赘皮矫正提供了良好的手术效果。
