Medial epicanthoplasty using skin redraping and orbicularis oculi muscle disconnection
10.3760/cma.j.issn.1671-0290.2011.06.006
- VernacularTitle:皮瓣松解加眼轮匝肌离断法矫治内眦赘皮
- Author:
Jianwen ZHANG
;
Sijia CAO
;
Zhaoji XIA
;
Zhuyu ZHU
;
Jing YU
- Publication Type:Journal Article
- Keywords:
Epicanthus;
Skin flap;
Orbicularis oculi muscle;
Cosmetic surgery
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2011;17(6):417-419
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore a new simple epicanthoplasty method fit for various types of epicanthus with inconspicuous scar after operation.Methods As the latest studies showed that the anatomical structure of epicanthus is mainly due to the eyelid orbicularis muscle's dislocation at the starting point of the medial canthal tendon,which affects the skin appearance,rather than the traditional view that was merely the excess skin,we released the adhesions between the skin and the inner canthus orbicularis muscle,and corrected the dislocation of orbicularis muscle that was key to the operation,incised along with the line A′→B→A″→ C in the field of interior canthus,separated the subcutaneous fascia tissue,relaxed the subcutaneous fibrous cord,disconnect the orbicularis muscle's attachment point in the inner canthal fold,and then sutured and folded the inner canthal ligament.After sewing up point A′ and point A″,the released skin retracted naturally and formed a new inner canthal contour.ResultsFrom June 2008 to June 2009,57 cases of epicanthus patients accepted this surgery.After operation,the appearance of canthus was nice.Eye fissure got widen,and the scar was not obvious.Also there was a high satisfactory rate.ConclusionsThis method has a broad range of applications.It is suitable for various types of epicanthus correction.
