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1、AnDoroachtominimalhinvasivecorrq,,ction司pfAna13Proachmallyinvaslecorrectlon司epicanthuswithdouble··eyelidoperationatthesametimeMasterdegreecandidate：LiuYanweiSupervisor：ProfessorQinHongzhiVice—supervisor：ProfessorHuGangMajor：PlasticSurgeryAbstractobjective：Patientswithepi
2、canthuscompose50％Asianpopulationand70％singleeyelidcrowd．Existenceofepicanthumakeslengthofpalpebralfissureshortenandvisualfieldblockedinsevereones。Correctionofepicanthusurgeryshouldbeoneofmostpopularsurgeryitemsindepartmentofcosmeticandplasticsurgery．Intextbooks，therearem
3、anyclassicalproceduresbasedonvarioustypesofepieanthus，butconventionalepicanthuscorrectionsresultinobviousscarslastingforalongtime，whichmakesmanyclinicsurgeriesavoidthisoperationdeliberately．Withtheepicanthusanatomicalstudies，wegainfurtherunderstandingofanatomysourceofepi
4、canthus，clinicaldoctorshavemademanyimprovementofthisoperation．Theytrytheirbesttomakehiddenincisionevennocanthalincision，lightenscarandreducerelapses．Epicanthusminimallyinvasivesurgeryisalsoanattemptfollowedtheseitems．Throughclinicalvalidation．resultsofthismethodaresatisf
5、iedforpatientswithepicanthuspalpebralandepicanthustarsalisMethods：From2003to2008，wehavetreatedpatientswithepicanthusforatotalof180cases，amongwhich102cases(204side)werewithepicanthuspalpebraland78cases(156side)werewithepicanthustarsalis。Withadouble-eyelidsincision，skinofe
6、picanthuswasseparatedthoroughlyfromorbieularisoculi，asubcutaneoustunnelwasformed，theorbicularisoculiswhoseterminationsweredisplacedwereexcisedthoroughly，theskinofepicanthuswasaffixedtodeepnasaltissueandfoldedinwardly，thereductusshouldbeconnectedwithfoldofuppereyelid3natu
7、rely，theangleofeyemedial．wasrevealedpartlyortotally．Fortheepicanthuspalpebralis，aprocedureinthesubcutaneoustunnelcanbeusedtofixthesubcutaneoustissueofmedialcanthustothenasaldeepertissue．Fortherevereepicanthuspalpebralis，apackagedreactoroutofskincanbemadetogeneratepressur
8、e．Fortherevereepicanthustarsalis，av-Yadvancementinlowereyelidskinnearmedialcanthuscanbemadetoreleasethe
