Chen Jie, Zhang Jianfei, Xi Wenwen, Chen Wenhui, Yang Feng
Department of Burns and Plastic Surgery, The Second Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, 421001, People's Republic of China.
College of Computer Science and Technology, Hengyang Normal University, Hengyang, 421001, People's Republic of China.
BMC Ophthalmol. 2025 May 15;25(1):292. doi: 10.1186/s12886-025-04123-7.
Epicanthus refers to the longitudinal curved skin folds that cover the medial canthus, which affect aesthetics due to covering the medial canthus angle and lacrimal mound. Various surgical methods exist for correcting epicanthus, each with its own set of advantages and disadvantages, and lacking a standardized operational protocol, making it difficult for beginners to master and for clinical promotion.This article aims to explore a standardized and simplified five-step procedure for treating epicanthus and report our clinical experience and effectiveness.
A retrospective analysis was conducted from October 2019 to September 2022 at the Burn and Plastic Surgery Department of the Second Affiliated Hospital of South China University. A consistent team of doctors utilized a five-step method to correct the medial canthus in 306 patients with epicanthus. All patients were followed up for more than 6 months. We observed 306 patients and used iris diameter as a reference value to subjectively evaluate the clinical effect through photo evaluation and scar scoring.Objective evaluation of clinical efficacy was achieved through the inter canthal distance (ICD) and palpebral fissure length (PFL).
The study included 295 females and 11 males, with an average follow-up time of 14.2 months.The average increase rate of PFL is 14.9%, and the average reduction rate of ICD is 8.6%. Two cases of bleeding and swelling were promptly treated, and no long-term complications were left. 85 cases of scar hyperplasia were treated with KELO-COTE® silicone gel, triamcinolone injection, and appropriate laser therapy in combination, and the scars gradually resolved after 12 months. 4 cases of recurrence and 2 cases of asymmetry underwent reoperation. Observing the satisfaction and effectiveness rate of 306 patients, the overall satisfaction and effectiveness rate reached over 95%. About 96.40% of patients were satisfied with the surgery and would recommend it to their family and friends. The paired t-test was used for statistical analysis, and the results showed statistical significance.
The five-step method for correcting epicanthus proves to be a simple, efficient, and reliable technique that is easily mastered by beginners. It boasts high patient satisfaction and carries a low risk of scar formation.
内眦赘皮是指覆盖内眦的纵向弧形皮肤皱襞，因其覆盖内眦角和泪阜而影响美观。目前存在多种矫正内眦赘皮的手术方法，每种方法都有其优缺点，且缺乏标准化的手术方案，使得初学者难以掌握，不利于临床推广。本文旨在探索一种标准化、简化的五步手术方法治疗内眦赘皮，并报告我们的临床经验和疗效。
对2019年10月至2022年9月在南华大学附属第二医院烧伤整形科就诊的患者进行回顾性分析。由同一组医生采用五步手术方法对306例内眦赘皮患者进行内眦矫正。所有患者均随访6个月以上。观察306例患者，以虹膜直径为参照值，通过照片评估和瘢痕评分主观评价临床效果。通过内眦间距（ICD）和睑裂长度（PFL）客观评价临床疗效。
本研究共纳入295例女性和11例男性，平均随访时间为14.2个月。PFL平均增加率为14.9%，ICD平均降低率为8.6%。2例出现出血肿胀，经及时处理，未遗留远期并发症。85例瘢痕增生患者联合使用康瑞保硅胶凝胶、曲安奈德注射及适当的激光治疗，12个月后瘢痕逐渐消退。4例复发和2例不对称患者接受了再次手术。观察306例患者的满意度和有效率，总体满意度和有效率超过95%。约96.40%的患者对手术满意，并表示会向家人和朋友推荐。采用配对t检验进行统计学分析，结果具有统计学意义。
五步手术法矫正内眦赘皮是一种简单、有效、可靠的技术，初学者易于掌握。该方法患者满意度高，瘢痕形成风险低。
