Department of Stomatology, First Medical Center of PLA General Hospital.
Department of Stomatology, Sixth Medical Center of PLA General Hospital, Beijing, China.
J Craniofac Surg. 2022 Sep 1;33(6):1720-1724. doi: 10.1097/SCS.0000000000008586. Epub 2022 Feb 17.
The skin redraping method for medial epicanthoplasty is characterized by some shortcomings which warrants modification. In this study, clinical data of 193 patients who underwent medial epichanthoplasty by the modified skin redraping technique or the classic skin redraping technique were reviewed retrospectively. The patients underwent operation between May 2018 and June 2020 and were followed up for not less than 6 months. Interepicanthal distance, interpupillary distance, patient satisfaction, and postoperative complications were evaluated. In terms of interepicanthal distance/inter-pupillary distance ratio (P > 0.05) and satisfaction score (P = 0.759), the modified skin redraping technique and the classic skin redraping technique were similar. In the classic skin redraping group, there were 3 cases of visible scarring in the lower eyelid, corresponding to significantly more cases than in the modified skin redraping group (n = 0, P < 0.001). There were more out-fold cases in the modified skin redraping group (76/90) than in the classic skin redraping group (17/88) (P < 0.001). Utilizing the modified skin redraping medial epicanthoplasty can prevent medial hooding of the upper eyelid, reduce the probability of visible scarring, and produce more out-fold with concurrent double eyelidplasty compared with classic skin redraping epicanthoplasty. Level of evidence: IV.
改良皮肤重睑法在重睑术的应用
皮肤重睑法在重睑术的应用存在一些缺点，需要进行改良。本研究回顾性分析了 2018 年 5 月至 2020 年 6 月间采用改良皮肤重睑法（改良组）或经典皮肤重睑法（经典组）行重睑术的 193 例患者的临床资料。随访时间不少于 6 个月，比较两组患者的重睑术效果。结果显示，两组患者的重睑术后内眦间距/瞳孔间距比值（P > 0.05）和患者满意度评分（P = 0.759）比较差异均无统计学意义；经典组下睑可见瘢痕 3 例，明显多于改良组（n = 0，P < 0.001）；改良组术后出现重睑线外折的例数明显多于经典组（76/90 比 17/88，P < 0.001）。与经典皮肤重睑法相比，改良皮肤重睑法行重睑术可防止上睑内眦部臃肿，减少下睑可见瘢痕的发生，且可增加术后重睑线外折的发生率。证据等级：IV 级。
