目的:探讨一种简单有效的伴有内眦赘皮的单睑重睑成形术的方法及临床效果。方法:采用改良的内眦移位内眦赘皮矫正术,切除内眦部赘皮将内眦向鼻侧移位建立新内眦,切除内眦部形成赘皮的表浅异位眼轮匝肌及皮下筋膜组织,联合切开法重睑成形术。结果:本组96例患者,术后赘皮消失,泪阜显露适中,内眦间距缩短,重睑外形美观自然。其中58例随访3mo～3a,术后皮肤切口无可见瘢痕,形态稳定,内眦赘皮无复发,效果满意。结论:该手术方法能够充分矫正内眦赘皮的异常结构,而与重睑成形术同期施术效果稳定,具有一定的临床应用价值。

AIM:To investigate the clinical effect of a simple and effective epi-canthoplasty combined with the double-eyelid blepharoplasty.METHODS:According to the serious degree and direction of epicanthal folds,a modified method designed to correct epicanthal folds and create double eyelid was operated asymmetrically at medial canthal area.The appearance of large opened eyes was produced by lengthening the palpebral fissure.RESULTS:All 96 eyes(58 cases) were operated and satisfactory aesthetic results were obtained.The results were good after 3-36 months follow-up.CONCLUSION:This is a simple and effective operative procedure with good results that can be widely used.

R779.6