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目的探讨一种简单有效的内眦赘皮矫正方法。方法应用内眦劈开、插入局部皮瓣和两个三角形皮肤切除的M成形术矫正内眦赘皮46例,其中与重睑同时进行41例,重睑术后内眦开大5例。结果46例内眦赘皮明显的患者术后效果满意。术后1月内有3例出现上睑部增生发红,5例出现内眦部增生发红,4例出现下睑部增生发红。2～3个月后逐渐软化消退。经随访3～12月,疤痕不明显,均获得满意疗效。结论M成形术设计简单、操作容易,术后内眦成形良好,疤痕不明显,值得推广应用。
Objective To explore a simple and effective method of epicanthosis correction. Methods Forty - six epistaxy patients were treated with split internal fixation, local flap insertion and two triangular skin resections. Among them, 41 were treated with double eyelid and 5 with double eyelids. Results 46 cases of epicanthus apparent in patients with satisfactory results. There were 3 cases of upper eyelid hyperplasia and redness in 1 month after operation, 5 cases of infrarenal hyperplasia and redness, and 4 cases of lower eyelid hyperplasia and redness. 2 to 3 months gradually softened dissipated. After 3 to 12 months of follow-up, the scar was not obvious and satisfactory results were obtained. Conclusions M-shaped operation is simple and easy to operate. The posterior foramen formation is good and the scar is not obvious. It is worth popularizing and applying.