UNASSIGNED: A total of 56 patients with a large inner canthus were randomly selected, and a bird-beak-type z-shaped asymmetrical flap was used on the nasal side of the lower eyelid to repair and reconstruct the inner canthal folds. The inner canthal point was located according to physiological aesthetics. The short and long arms of the z-shaped asymmetrical flap were separated, replaced, fixed, and shaped to reconstruct the skin folds of the inner canthus and restore its aesthetic morphology.
UNASSIGNED: All incisions after surgery achieved primary healing, and all 56 cases were followed up for 6-20 months (average 8.6 months). The caruncula lacrimalis was moderately exposed, the inner canthal angles possessed a natural appearance, and the results of the surgery were satisfactory. Five patients developed scar hyperplasia within one month after surgery, and arnica gel was applied topically for 3-6 months until the scar faded or disappeared, but no obvious scars were seen in the surgical area of the remaining patients. In two patients, the internal canthi were asymmetrical, but this improved after adjustment.
UNASSIGNED: Repair of a large inner canthus and tissue loss at the inner canthal angle of the eye using a bird-beak-type z-shaped asymmetrical flap is a simple operation, resulting in minimal trauma. Postoperatively, the inner canthal angle possessed a natural appearance with no obvious scarring.
UNASSIGNED:随机选择了56例内眼大的患者,并在下眼睑的鼻侧使用鸟嘴型z形不对称皮瓣修复和重建内角皱褶。根据生理美学定位了内角。z形不对称皮瓣的短臂和长臂分开,替换,固定,并成形以重建内眼角的皮肤褶皱并恢复其美学形态。
未经证实:手术后所有切口均获得初步愈合,56例均获随访,随访时间6~20个月,平均8.6个月。泪珠中度暴露,内角具有自然的外观,手术效果满意。5例患者术后1个月内出现瘢痕增生,并局部应用山金车凝胶3-6个月,直到疤痕消失或消失,但其余患者的手术部位未见明显疤痕。在两个病人中,内部Canthi是不对称的,但这在调整后有所改善。
UNASSIGNED:使用鸟嘴型z形不对称皮瓣修复大内眼角和组织损失是一种简单的操作,造成最小的创伤。术后,内角具有自然的外观,没有明显的疤痕。