摘要
Abstract
Objective To investigate the clinical effect of Z plasty combined with orbicularis oculi muscle resection and correction of the inner canthus. Methods From January 2014 to June 2016 in our hospital were treated 60 cases of patients with internal fixation, and divided into observation group, each group of each group of 30 cases. The control group underwent Z surgery for correction of epicanthus, the observation group was treated with Z plasty combined with canthal orbicularis muscle resection and correction of epicanthus, two patients underwent double eyelid operation. The ratio of palpebral fissure length(HLFL), medial canthus distance (ICD), and the ratio of palpebral fissure length to inner canthus distance(HLFL/ ICD) were compared between the two groups before and after surgery. Results In the control group, postoperative palpebral fissure length and inner canthal distance ratio (HLFL/ICD) was 0.87±0.04, compared with the preoperative palpebral fissure length and inner canthal distance ratio(HLFL/ICD) improved(P<0.05). The patients in the observation group after the palpebral fissure length and inner canthal distance ratio(HLFL/ICD) was 0.90± 0.06, compared with the preoperative palpebral fissure length and inner canthal distance ratio(HLFL/ICD) improved(P<0.05). Postoperative observation group average ratio of HLFL/ICD average ratio is greater than that of the control group before and after surgery, the difference was statistically significant (P<0.05). Followed up for 6 months, the control group, there were 1 cases of recurrence of the disease, all patients in the observation group were no infection, scar hyperplasia and recurrence of the recurrence of the disease. Conclusion Z plasty combined with canthal orbicularis muscle resection and correction of epicanthus, can effectively correct the epicanthus, achieve aesthetic effect and avoid the recurrence of the double eyelid, epicanthus, scar hyperplasia, worthy of clinical application.关键词
Z成形术/内眦赘皮/内眦赘皮矫正术/重睑术Key words
Z plasty/epicanthus/epicanthoplasty/blepharoplasty分类
医药卫生