Labom Plastic Surgery Center.
Department of Plastic and Reconstructive Surgery, Bucheon St. Mary's Hospital, College of Medicine, the Catholic University of Korea, Seoul, Republic of Korea.
J Craniofac Surg. 2023 Jun 1;34(4):1340-1342. doi: 10.1097/SCS.0000000000009243. Epub 2023 Mar 8.
Medial epicanthoplasty is a crucial component in Asian cosmetic eyelid surgery. Conventional surgical methods have mandated wide undermining for the purpose of sufficient release. However, excessive undermining may result in hypertrophic scar or webbing deformities. To minimize undesirable results, the authors are proposing a novel approach. From March 2010 to December 2017, a triangular resection epicanthoplasty was performed in 421 Asian patients. The authors' procedure consists of triangular skin resection, the release of orbicularis oculi muscle and upper half medial epicanthal tendon, and dog ear correction. No complication regarding scarring or webbing was reported. The revision was performed in 18 cases where the patients wanted additional correction. The triangular resection epicanthoplasty offers both optimal results and minimal scar with relative simplicity.
内眦赘皮矫正术是亚洲人重睑成形术中一个重要的环节。传统的手术方法需要广泛的皮下分离以获得足够的松解。然而，过度的皮下分离可能导致增生性瘢痕或皮瓣挛缩畸形。为了减少不良的结果，作者提出了一种新的方法。从 2010 年 3 月至 2017 年 12 月，作者对 421 例亚洲患者进行了三角形皮肤切除术矫正内眦赘皮。作者的手术方法包括三角形皮肤切除、眼轮匝肌及上半内侧眦韧带松解和“猫耳朵”矫正。没有报道瘢痕或皮瓣挛缩相关的并发症。有 18 例患者需要进一步矫正，作者对其进行了修复。三角形皮肤切除术矫正内眦赘皮的优点是效果确切，瘢痕最小，相对简单。
