Kao Y S, Lin C H, Fang R H
Lin Chiu-Hwa Clinic, Department of Surgery, Veterans General Hospital--Taipei, Taiwan.
Plast Reconstr Surg. 1998 Nov;102(6):1835-41. doi: 10.1097/00006534-199811000-00004.
The presence of epicanthal folds and lack of supratarsal folds are unique features in most Asian eyelids. Although many surgical procedures are available to eliminate epicanthal folds, scarring on the medial canthus is still an obstacle for surgeons to overcome. From January of 1989 to November of 1997, we used modified Y-V advancement procedures in 148 cases to correct epicanthal folds in Asian eyelids. Five of those cases involved congenital palpebral anomalies, including congenital entropion, congenital ptosis, and Down syndrome. There were few complications in our series. We believe that the modified Y-V advancement procedure causes minimum scarring on medial canthus in correcting Oriental epicanthal folds and congenital palpebral anomalies. This procedure can also be simultaneously combined with blepharoplasties and corrective procedures of eyelids.
内眦赘皮的存在和上睑皱襞的缺乏是大多数亚洲人眼睑的独特特征。尽管有许多外科手术可用于消除内眦赘皮，但内眦部的瘢痕形成仍然是外科医生需要克服的障碍。从1989年1月至1997年11月，我们采用改良Y-V推进手术对148例亚洲人眼睑的内眦赘皮进行矫正。其中5例涉及先天性睑裂异常，包括先天性睑内翻、先天性上睑下垂和唐氏综合征。我们的系列病例中并发症很少。我们认为改良Y-V推进手术在矫正东方人内眦赘皮和先天性睑裂异常时，在内眦部造成的瘢痕最小。该手术还可同时与眼睑成形术及眼睑矫正手术联合应用。
