Webster R C, Davidson T M, Reardon E J, Smith R C
Arch Otolaryngol. 1979 Oct;105(10):601-4. doi: 10.1001/archotol.1979.00790220035009.
Lateral canthopexy using permanent suspending sutures to shorten the lateral canthal tendon helps prevent scleral show, increased sloping of the upper lid, and inferomedial displacement of the lateral canthus following lower lid blepharoplasty. While these complications usually are prevented by flap suspension techniques, in which more skin is excised above and lateral to the commissure than below it, sutures running from the inferomedial part of the lateral canthal tendon to its superolateral aspect and to periosteum just inside the orbit still further reduce the tendency toward the complications mentioned. We report technical aspects and results. After several years of clinical experience, we have the impression that the technique is a useful adjunct, even though it may produce more swelling and inflammation and a longer recuperative period.
使用永久性悬吊缝线缩短外眦韧带的外眦固定术有助于预防下睑成形术后出现巩膜外露、上睑倾斜度增加以及外眦向内下移位。虽然这些并发症通常可通过皮瓣悬吊技术预防，即在外眦角上方和外侧切除的皮肤多于下方，但从外眦韧带的内下部分向其外上部分以及眶内缘骨膜处缝合，仍可进一步降低出现上述并发症的倾向。我们报告该技术的操作要点及结果。经过数年临床经验，我们认为该技术是一种有用的辅助方法，尽管它可能会导致更多肿胀和炎症，且恢复时间更长。
