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An Approach to Minimally Invasive Correction of Epicanthus with Double-eyelid Operation at the Same Time

Author: LiuYanWei
Tutor: QinHongZhi
School: Dalian Medical University
Course: Plastic Surgery
Keywords: Epicanthus CORRECTION Deep fixed Minimally invasive techniques Blepharoplasty
CLC: R779.6
Type: Master's thesis
Year: 2008
Downloads: 83
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Abstract

Objective: epicanthus in Asian population was about 50%, the incidence of 70% in a single eyelid crowd; blepharophimosis epicanthus shortened length, even blocking severe epicanthus part of the field of vision, epicanthus correction surgery is a common surgical items for Aesthetic Plastic Surgery. Many classic corrective surgical textbooks, corresponding to the types of epicanthus; conventional epicanthus correction surgery caused scar more obvious and long duration, which makes many clinicians deliberately to avoid this surgery . With the internal epicanthus anatomy, internal got a better understanding of the causes of epicanthus, clinicians have also combined the epicanthus anatomy causes of surgical methods a lot of improvements to make surgical incision toward the hidden even without internal canthus incision, reduce scarring, reduce relapse direction. The double eyelid same period in the line of minimally invasive surgical correction of epicanthus we do these a try. Clinical validation of the upper eyelid and meibomian within canthus superfluous satisfaction of the skin correction effect. Methods: From 2003 to 2008 a total of 180 cases of epicanthus patients treated 102 cases of which the upper eyelid, a total of 204 side; the meibomian type 78 cases, a total of 156 side. Double eyelid incision, full separation between the redundant skin at the skin and orbicularis muscle to form a subcutaneous tunnel, the inner canthus arrived only misplaced orbicularis muscle fascia complete resection, the inner canthus skin subcutaneous fixed the deep tissue of the nasal dorsum, folding the skin to the deep, and the continuation of the formation of wrinkles and double eyelid line phase, revealing some or all of the inner canthus angle. Canthal superfluous leather for the upper eyelid type the inner canthus skin sutured in deep subcutaneous tunnel; for the meibomian type epicanthus, including the canthus skin packaged heap bandaged; if the inner canthus superfluous more serious skin incision, the dislocation of the release or the removal of the lower eyelid near the inner canthus orbicularis muscle to the inner canthal crest direction VY advancing the \vertical direction tension. Results: 180 patients were followed up for 1 year to 2 years, the postoperative Epicanthus disappears, caruncle part to reveal inner canthal natural non-surgical scar, the level of the inner canthus area, the only serious epicanthus and line lower eyelid medial skin VY propelled minor surgical scar in the lower eyelid near the inner canthus. Patient satisfaction is more than 95%. Only five cases of epicanthus relapse within the Department the canthus the suture loose due to be inner canthus embedding method repair, to good effect. Conclusion: this epicanthus correction technology, the use of double eyelid incision inner canthus formed subcutaneous tunnel operation, effectively fixed the deep inner canthus horizontal area non-surgical scar, while reducing the recurrence rate; heavy eyelid line of jagged incision, the vertical direction of the inner canthus skin effectively relieve tension, to avoid the complexity of the skin flap. The surgical method is simple, suitable for correction of upper eyelid meibomian type epicanthus.

An Approach to Minimally Invasive Correction of Epicanthus with Double-eyelid Operation at the Same Time

Abstract

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