首页    期刊浏览 2024年11月27日 星期三
登录注册

文章基本信息

  • 标题:Effective Lateral Canthal Lengthening with Triangular Rotation Flap
  • 本地全文:下载
  • 作者:Min Soo Kim
  • 期刊名称:Archives of Plastic Surgery
  • 印刷版ISSN:2234-6163
  • 出版年度:2016
  • 卷号:43
  • 期号:4
  • 页码:311-315
  • DOI:10.5999/aps.2016.43.4.311
  • 语种:English
  • 出版社:The Korean Society of Plastic and Reconstructive Surgeons
  • 摘要:

    In Korea, lateral canthoplasty, along with medial epicanthoplasty, has become popular over the past years to widen the horizontal length of the palpebral fissure. However, the effect of the surgery differs greatly depending on the shape and structure of the eyes. If over-widened, complications such as eversion, scarring, and conjunctival exposure may occur. Thus, the author of this study suggests a more effective and safe method for lateral canthal lengthening that causes minimal complications. A total of 236 patients underwent lateral canthoplasty between July 2007 and December 2015. For each patient, a triangular flap 4–5 mm away from the lateral canthus was elevated and rotated 45 degrees laterally while the continuity of the lower eyelid gray line was maintained. A new lateral canthus was created by fixating the rotation flap to the lateral orbital rim with minimal skin trimming and tension-free sutures, preventing relapse and maintaining a triangular shape. In more than 95% of cases, effective and satisfactory extension was achieved. On average, a 3 mm extension of the lateral canthus was achieved. There were minor complications such as wound dehiscence, webbing, and scarring, which were easily corrected. The author not only extended the lateral canthus 3–4 mm laterally but also maintained the continuity of the gray line on the lower lid as a more natural-looking triangular shape, while minimizing complications such as webbing and conjunctival exposure.

  • 关键词:Lateral canthoplasty; Triangular rotation flap; Continuity of the gray line
国家哲学社会科学文献中心版权所有