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1、內(nèi)眥贅皮的矯正—“開眼角”河北省人民醫(yī)院張芾男研究意義眼睛的功能視覺器官表達情感的重要器官，流露出心靈深處極為豐富、細致的情感。外在美的重要標(biāo)志，在面部美學(xué)中具有重要的作用。內(nèi)眥贅皮的影響內(nèi)眥贅皮是內(nèi)眥角前方呈斜向或垂直向分布的半月形皮膚蹼狀皺襞，在亞洲人群中發(fā)生率約為50%。內(nèi)眥贅皮使正常內(nèi)眥角被掩蓋，眼裂變短，兩眼間距過寬，嚴(yán)重影響眼部的美觀。重度內(nèi)眥贅皮遮擋部分視野。CompanyLogo研究進展內(nèi)眥贅皮的形成原因內(nèi)眥部眼輪匝肌肌纖維的錯位內(nèi)眥部皮膚在垂直方向的張力過大常見手術(shù)方法橫切縱縫法、mustarde法、V-W成形、鼻側(cè)腱膜固定、z成形、Y-V推進等CompanyLogo
2、Y-VadvancementEpicanthoplastyF.C.Li2008年P(guān)ointaismarkedontheedgeoftheepicanthalfoldatthelevelofthemid-caruncle.Frompointa,ahorizontallineisdrawnmediallyontheoutersurfaceoftheepicanthalfolduptopointb.thenasalskinispulledmediallytocompletelyexposethelacrimallake.Frompointa,twolinesaremade.Thelineon
3、theuppereyelidcorrespondswiththeplannedlineforthedoubleeyelidfold.Thelineonthelowereyelidlocatesalongthelowereyelidborder.CompanyLogopalpebralmarginincisionEpicanthoplastyWenChen2009年P(guān)ointAwasmarked1mmmedialtothelacrimallake.ExtendingfrompointA,twolinesalongtheciliarymarginsweremarked.Thelengths
4、ofAB(supraciliary)andAC(subciliary)weremade5mmand2mm.IncisionsweremadealongABandAC.Bycuttinganddissectingthedenseconnectivetissuelocatedbetweenskinandorbicularisoculimuscleinthemedialcanthalarea.Doubleeyelidplastywasthenperformed.Afterthedoubleeyelidplastyprocedure,theendpointofthedoubleeyelidfo
5、ldinthemedialcanthuswasmarkedasA’.CompanyLogoThelinefrompointAtoA’wasincisedandthepointAwassuturedtopointA’.Theexcessiveskinofthemedialcanthusinthesubciliarywastrimmedoffalongthesubciliaryincision.CompanyLogoInvertedV-YadvancementEpicanthoplastyLiQiangLiu2011年P(guān)ointAismarkedintheapexofthecaruncul
6、afornixjustneartheskinemucosaljunctionwhilethemedialsemilunarskinispulledmediallytoexposethelachrymallake.PointBislocatedatthenewdesiredmedialcanthusandisprojectedontothesurfaceofthemedialsemilunarskinwheninthenaturalstateoftension.PointCislocatedatthesupralateraledgeofthesemilunarskinbymakingth
7、elengthofACequaltothatofBC.LinesAC,BCandABformaverticalinverseV-shapedskinflap.PointDisonthesubciliaryline,thelengthofADcanbeadjustedbytheextensionoftheinverseV-shapedskinflap.CompanyLogotheverticalV-shapedskinflapiselevated
