ABSTRACT
Objective To investigate the possibility and aesthetic results of plastic and cosmetic surgery incorporating the modified single z-type epicanthoplasty with the horizontal double-eyelid blepharoplasty.Methods A total of 150 patients with epicanthus fold and single eyelid were performed the horizontal double-eyelid blepharoplasty with single Z-shaped asymmetric flap method in one-stage procedure.Results After 3 to 12 months following up,three cases presented mild scar proliferation in epicanthal incision,and then with the swelling subsided and scar removal,the scars were gradually disappeared.All of other patients had no obvious scar after the surgery.Conclusions This is an effective combined surgical procedure.There is no obvious scar in endocanthion.This method could be widely used in clinic.
ABSTRACT
Objective@#To discuss one double-eyelid surgery which is conformed to the anatomy characteristics of the asian upper eyelid.@*Methods@#A total of 162 cases were performed blepharoplasty for double eyelids, who aged 19 to 33 years with average 24.22±3.05 years, including 28 men and 134 women. Double eyelid line was designed according to the overall characteristics of eyebrows and eyes of beauty seekers combined with aesthetic standards. The surgery was performed to restore the anatomical characteristics of natural double eyelids as far as possible.@*Results@#The double eyelid surgery was designed and performed in 162 cases based on this method. All the patients underwent suture removal 7 days after operation, none of them had postoperative infection, and 15 patients had the bruising during the first week. After symptomatic treatment, the bruising had gone in 1 month. All the cases were followed up for more than six months postoperatively, and eight cases presented shallow double eyelid and the satisfactory results were achieved after the second operation of small incision.@*Conclusions@#The double-eyelid line should be designed individually before operation and the surgery done according to the natural characteristics of Asian upper eyelid. It will get coherent double eyelid without obvious scar or depression at resection margin, with high satisfactory rate.
ABSTRACT
Objective To investigate the possibility of plastic and cosmetic operation incorporating epicanthoplasty with the double-eyelid procedure in one stage to achieve a more subtle scar in epicanthus patients with single eyelid. Methods After designing incision line of the epicanthic flap, double-eyelid line and the lower eyelid incision curved line, we cut the medial canthus skin transversely to reach a new medial canthus point, incised the part of front angle of medial palpebral ligamentum longitudinally and fixed the end point of front angle of medial palpebral ligamentum to nasal dorsum fascia firmly. Double eyelid operation was routinely performed to remove redundant small triangle skin as well as some patchy of orbicularis on the new medial canthus point. Along with eyelid edge about 1 to 2 mm to eyelash, the temporal side was cut with curved line till its disappearance by eyelid's "cat ear". The lower eyelid flap was separated downward and the superfluous flap and some patchy of orbicularis cut. The skin was su-tured to make postoperative scar hidden, blepharophimosis increased and the fold disappeared. Results 46 eyes (23 cases) were operated and satisfactory aesthetic results were obtained. Palpebral fissure was enlarged to 2 to 4 mm with epicanthic scar disappearance and formation of double-eyelid. Conclusions This is a simple and effective procedure with hidden epicanthic scar and the double-eyelid blepharoplasty could be performed simultaneously. Most patients receive satisfactory results during the 0.5 to 2 years' follow-up period except 2 cases with mild proliferation of epicanthus in half a year. It is especially suitable to correct the severe epicanthus palpebralis or epieanthus tarsalis.
ABSTRACT
PURPOSE: To report the ophthalmologic examination of an infant who has cri du chat syndome with exotropia and facial abnormalities. CASE SUMMARY: A 7 - month - old infant was confirmed as having cri du chat syndrome by a chromosomal study. He showed mild developmental retardation and eyeball deviation. This male infant underwent ophthalmic evaluations, including an extraocular examination, measurement of deviation, ocular movement test, interepicanthal distance, and fundus examination. As a result, facial abnormalities were found, including telecanthus and epicanthal folds. The infant had intermittent exotropia of 40 prism diopters according to the Hirschberg test and optic atrophy according to the fundus examination. CONCLUSIONS: Cri du chat syndrome manifests with many different ocular symptoms, including hypertelorism, telecanthus, epicanthal folds, and exotropia.
Subject(s)
Humans , Infant , Male , Craniofacial Abnormalities , Cri-du-Chat Syndrome , Exotropia , Hypertelorism , Optic Atrophy , PolyenesABSTRACT
PURPOSE: To evaluate the effect of modified simple excision for epicanthal folds. METHODS: Eight patients with the epicanthal folds were treated using a modified simple excision method from June to December 2005. After medial traction of the epicanthal fold to expose the medial canthus, parabola-shaped marking was done near mucocutaneous junction. Under local anesthesia, incision of skin, dissection of subcutaneous tissue and excision of subcutaneous fibrous tissue and orbicularis oculi muscle were done. After marking the medial canthus on the skin, a wedge-shaped excision of the extra skin was done. Fixation sutures to the medial canthal tendon and skin sutures were then performed. RESULTS: Eight participants were evaluated (four males and four females) with a mean age of 16.71+/-8.34 years. The mean follow-up period was 42.86+/-5.80 days. After the operation, the skin scar was not visible due to its deep position, and no complication, such as damage to the lacrimal canaliculus or sac, was observed. CONCLUSIONS: Modified simple excision for epicanthal folds is an effective method that does not leave a visible scar.
Subject(s)
Humans , Male , Anesthesia, Local , Cicatrix , Follow-Up Studies , Skin , Subcutaneous Tissue , Sutures , Tendons , TractionABSTRACT
Objective To discuss the possibility of plastic and cosmetic operation incorporating epicanthoplasty with the double-lid procedure in one stage. Methods When planning the double-lid procedure, the correction of epicanthal folds and creating double-lid were operated using asymmetric Z flap at medial canthal area in one-stage procedure. The appearance of large-opened eyes was produced by lengthening the palpebral fissure.Results From Feb. of 2004 to Feb. of 2005, all 30 eyes (15 cases) were operated and satisfactory aesthetic results were obtained. In the follow-up periods the results were good. Conclusion This is a simple and effective operation procedure with good results that can be widely used.