吴一，陈科，廖星，王娟

    [摘要]目的：探讨应用舌形瓣重建内眦力学结构方法矫正内眦赘皮的临床效果。方法：对2021年1月-2022年1月笔者医院收治的130例内眦赘皮患者行舌形瓣重建内眦力学结构法矫正内眦赘皮术。设计新的内眦韧带固定点，游离出舌形瓣，重新搭建内眦韧带的力学结构，调整内眦形态，切除多余皮肤后缝合。结果：130例患者中125例完成随访，随访时间6～12个月。患者术后内眦形态良好，泪阜显露良好，切口瘢痕不明显，复发率低，患者总体满意率96.15%。结论：舌形瓣重建内眦力学结构法矫正内眦赘皮效果良好，近远期观察矫治后形态稳定，并发症极低，值得推广。

    [关键词]内眦赘皮；舌形瓣；重建术；内眦力学结构；内眦点

    [中图分类号]R622? ? [文献标志码]A? ? [文章编号]1008-6455(2023)04-0050-03

    Clinical Application of Epicanthoplasty with Tongue-Shaped Flap by Reconstruction of Mechanical Structure of Inner Canthus

    WU Yi1，CHEN Ke2，LIAO Xia2，WANG Juan2

    (1.Department of Plastic Craniofacial Surgery，the Affiliated Central Hospital of Chongqing University，Chongqing 400014，China; 2.Chongqing Meichan Meiyuan Plastic Surgery Clinic，Chongqing 400014，China)

    Abstract： Objective? To investigate the clinical effect of using the tongue flap reconstruction method to correct canthus. Methods? A tongue-shaped flap was used to reconstruct the mechanical structure of the medial canthus in 130 cases attending the author's hospital from January 2021 to January 2022 of medial canthus to correct medial canthus. A new fixation point of the medial canthal ligament was designed ...... 濠碘€冲€归悘澶愬箖閵娿儲韬ù锝堟硶閺併倝骞嶇€ｎ偅绨氱紒娑橆槹缁侊妇鎲撮崼鐔割槯闁哄啰濮电涵鍫曞蓟閵壯勭畽闁瑰瓨鐗旂粭鍛姜閽樺寮块柡鍌氭祫缁辨繈宕ｉ婵嗗幋闁哄嫷鍨甸～锕傚箹濠婂懎鍋嶇€殿喗娲橀幖鍛婂緞鏉堚晜鍩傞柍銉︾矎濞村棝鎯嶆担娴嬪亾濠垫挾绀夐悹鍥棑閸嬶綁宕欑拠鑼綄妤犵偞娲樺〒鑸电▔鐎ｎ偅鐓欓柣銊ュ閳ь剚绮庨弫鎼佹嚇閹寸姴顣奸柍銉︾箖閸ㄣ劑鍨惧⿰鍐ㄦ枾缂傚啯鍨块妴澶愬灳濠靛⿴鍟忛梻鍌ゅ枔閳ь剨鎷�


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