目的 寻求一种设计简单、瘢痕隐蔽的矫正内眦赘皮的术式.方法 2012年3月至2015年12月,利用内眦赘皮切除法治疗先天性内眦赘皮52例,术中去除多余的内眦皮肤和离断移位的眼轮匝肌,将原本的内眦显露出来.结果 52例患者术后随访3~36个月.由于切口瘢痕靠近且平行于眼睑缘,故远期瘢痕不明显.术后内眦形态良好,与重睑的衔接流畅,眼形改善明显.赘皮矫正彻底无复发.结论 该赘皮切除法可有效矫正先天性内眦赘皮,且设计简单、瘢痕隐蔽.

Objective To investigate a modified epicanthoplasty with simple design and inconspicuous scarring. Methods The modified epicanthoplasty was performed on 52 patients from March 2012 to Dec 2015. The procedure involves resection of redundant skin fold, manipulation of the malpositioned orbicularis oculi muscle, and exposure of the real medial canthus. Results The follow-up period ranged from 3 to 36 months. Most patients were satisfied with the results and none com-plained about visible scarring, because the only incisions were hidden in supratarsal and subciliary incisions. The epicanthal fold was effectively removed and the aesthetic eye contour was achieved. No patients experienced relapse of the epicanthal fold. Conclusion The modified epicanthoplasty corrects the epicanthal folds effectively. The technique is simple with incon-spicuous scarring.