Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2023, Vol. 37 ›› Issue (1): 115-119.doi: 10.6040/j.issn.1673-3770.0.2022.015

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Clinical observation of horizontal incision in the treatment of congenital epicanthus with entropion and lower eyelid trichiasis

LI Zhizhe, LU Xiting, WANG Ying, GU Yonghui, LIU Jie   

  1. Department of Ophthalmology, Suzhou Municipal Hospital, Suzhou 215000, Jiangsu, China
  • Published:2023-02-06

Abstract: Objective To investigate the clinical effect of horizontal incision of the inner canthus on congenital epicanthus with entropion and lower eyelid trichiasis. Methods 36 cases(72 eyes)of congenital epicanthus with entropion and trichiasis of the lower eyelid were treated with a horizontal incision of the inner canthus to release the traction of the incised line of the inner canthus. The correction of lower eyelid trichiasis, the improvement of epicanthus, and the degree of scar formation were observed. Results After the operation, all 72 eyes of the 36 patients were corrected for trichiasis and epicanthus. The patients were followed up for 3 months, 6 months, and 12 months. The effective rate of trichiasis correction was 100%; the inner canthus space was narrowed, and the degree of aesthetics improved in all cases. Conclusion Incision of the inner canthus has a significant clinical effect on congenital epicanthus with lower eyelid trichiasis.

Key words: Horizontal incision, Epicanthal, Lower eyelid trichiasis, Entropion, Epicanthoplasty

CLC Number: 

  • R777.1+5
[1] Seo JD, Kim JH, Pak CS, et al. Medial epicanthoplasty using the “inside-out” technique[J]. J Plast Surg Hand Surg, 2014, 48(2): 139-142. doi:10.3109/2000656X.2013.835264
[2] van de Kar AL, Corion LUM, Smeulders MJC, et al. Reliable and feasible evaluation of linear scars by the Patient and Observer Scar Assessment Scale[J]. Plast Reconstr Surg, 2005, 116(2): 514-522. doi:10.1097/01.prs.0000172982.43599.d6
[3] 李凤鸣, 谢立信. 中华眼科学[M]. 3版. 北京: 人民卫生出版社, 2014.
[4] Medsinge A, Duncan K, Yu JY. The association between epiblepharon and obesity: an experience at tertiary care center in Western Pennsylvania/North America[J]. Int Ophthalmol, 2021, 41(3): 991-994. doi:10.1007/s10792-020-01653-5
[5] (日)村上正洋,(日)鹿嶋友敬主编, 赵自然译. 精细眼睑手术案例图解: 眼科·整形外科的思考要点[M]. 武汉: 华中科技大学出版社, 2020.
[6] 李冬梅. 眼整形美容外科图谱[M]. 2版. 北京: 人民卫生出版社, 2016.
[7] Park JW, Hwang K. Anatomy and histology of an epicanthal fold[J]. J Craniofac Surg, 2016, 27(4): 1101-1103. doi:10.1097/SCS.0000000000002628
[8] 赵宏武, 卢范, 宋建星. 内眦赘皮的解剖成因探究[J]. 中国美容医学杂志, 2001, 10(3): 176-177. doi:10.3969/j.issn.1008-6455.2001.03.001 ZHAO Hongwu, LU Fan, SONG Jianxing. A study of anatomical causes of the formation of epicanthus[J]. Chinese Journal of Aesthetic Medicine, 2001, 10(3): 176-177. doi:10.3969/j.issn.1008-6455.2001.03.001
[9] Simon JW, Williams KH, Zobal-Ratner JL, et al. Conservative management of lower eyelid epiblepharon in children[J]. J Pediatr Ophthalmol Strabismus, 2017, 54(1): 15-16. doi:10.3928/01913913-20160810-02
[10] 左兰, 程建霞, 黄鑫宇, 等. 先天性睑内翻的个性化术式治疗[J]. 中华医学美学美容杂志, 2015, 21(4): 212-215. doi:10.3760/cma.j.issn.1671-0290.2015.04.007 ZUO Lan, CHENG Jianxia, HUANG Xinyu, et al. Individualized surgical treatment of congenital entropion[J]. Chinese Journal of Medical Aesthetics and Cosmetology, 2015, 21(4): 212-215. doi:10.3760/cma.j.issn.1671-0290.2015.04.007
[11] Saonanon P. The new focus on epicanthoplasty for Asian eyelids[J]. Curr Opin Ophthalmol, 2016, 27(5): 457-464. doi:10.1097/ICU.0000000000000277
[12] Hwang K, Kim H. Historical vignettes of epicanthoplasty[J]. J Craniofac Surg, 2016, 27(4): 1080-1083. doi:10.1097/SCS.0000000000002512
[13] 李高峰, 谭军, 吴子涵, 等. 不同类型内眦赘皮的处理对策[J]. 中华整形外科杂志, 2015, 31(6): 428-431. doi:10.3760/cma.j.issn.1009-4598.2015.06.008 LI Gaofeng, TAN Jun, WU Zihan, et al. Therapeutic strategy for different types of epicanthus[J]. Chinese Journal of Plastic Surgery, 2015, 31(6): 428-431. doi:10.3760/cma.j.issn.1009-4598.2015.06.008
[14] Zan T, Jin R, Li HZ, et al. A novel U-flap epicanthoplasty for Asian patients[J]. Aesthetic Plast Surg, 2016, 40(4): 458-465. doi:10.1007/s00266-016-0665-2
[15] 谢燕燕, 张基勋, 姜笃银. 改良Park法重睑术的临床应用及疗效分析[J]. 山东大学耳鼻喉眼学报, 2018, 32(2): 91-94. doi: 10.6040/j.issn.1673-3770.0.2017.319 XIE Yanyan, ZHANG Jixun, JIANG Duyin. Clinical applicability and therapeutic effect analysis of the modified park method double-eyelid operation[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(2): 91-94. doi: 10.6040/j.issn.1673-3770.0.2017.319
[16] Wang SB, Shi FF, Luo XS, et al. Epicanthal fold correction: our experience and comparison among three kinds of epicanthoplasties[J]. J Plast Reconstr Aesthet Surg, 2013, 66(5): 682-687. doi:10.1016/j.bjps.2013.01.028
[17] Cho BC, Lee KY. Medial epicanthoplasty combined with plication of the medial canthal tendon in Asian eyelids[J]. Plast Reconstr Surg, 2002, 110(1): 293-300;discussion301. doi:10.1097/00006534-200207000-00049
[18] 王越, 程啸天, 章征, 等. 灰线切开联合睫毛翻转缝合治疗儿童下睑赘皮性内翻倒睫的疗效观察[J]. 中国斜视与小儿眼科杂志, 2021, 29(2): 31+29+30+65+32. doi:10.3969/J.ISSN.1005-328X.2021.02.010 WANG Yue, CHENG Xiaotian, ZHANG Zheng, et al. Observation on the efficacy of gray line incision combined with Cilia rotational suture in the treatment of lower eyelid Congenital epiblepharon in children[J]. Chinese Journal of Strabismus & Pediatric Ophthalmology, 2021, 29(2): 31+29+30+65+32. doi:10.3969/J.ISSN.1005-328X.2021.02.010
[19] 王育红, 黎冬平, 杜芳, 等. 倒V形松解术在下睑内翻倒睫伴内眦赘皮矫正中的应用[J]. 中国美容整形外科杂志, 2018, 29(5): 271-274. doi:10.3969/j.issn.1673-7040.2018.05.006. WANG Yuhong, LI Dongping, DU Fang, et al. Application of inverted “V” release surgery in the correction of epicanthus with entropion trichiasis in the lower eyelid[J]. Chinese Journal of Aesthetic and Plastic Surgery, 2018, 29(5): 271-274. doi:10.3969/j.issn.1673-7040.2018.05.006
[20] 马涛, 翁瑞, 郑永生, 等. 内眦皮肤重置法对伴有内眦赘皮的下睑倒睫患者的矫治效果[J]. 中华医学杂志, 2016, 96(36): 2906-2908. doi:10.3760/cma.j.issn.0376-2491.2016.36.013 MA Tao, WENG Rui, ZHENG Yongsheng, et al. Effects of epicanthoplasty on trichiasis of the lower eyelids with epicanthus[J]. National Medical Journal of China, 2016, 96(36): 2906-2908. doi:10.3760/cma.j.issn.0376-2491.2016.36.013
[21] 周孝麟. 横切纵缝法矫正内眦赘皮[J]. 中华医学美学美容杂志, 2005, 11(6): 366-367. doi:10.3760/cma.j.issn.1671-0290.2005.06.015
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