摘要
背景： 上眼瞼成形術是亞洲地區最常見的整形手術之一，然而在一些眼睛較小，或是眼眶較窄的病人當中，雙眼皮手術後所帶來的美觀效果往往受到限制，因此，合併外眥成形術來增加眼眶寬度可以加強上眼瞼成形術後的美觀效果。本文提出一種簡單、有效的外眥成形術，易於操作，效果持續且令人滿意。 材料及方法： 在2007至2008年間，十位病人因為美觀理由接受外眥成形術，所有的病人也同時接受上眼瞼成形術。我們在外眼角設計V-Y皮瓣，將眼角向外延伸，同時將皮下組織固定至骨膜上，以減少復發機率，再修除贅皮，縫合傷口。 結果： 十位病人都對術後外觀感到滿意，沒有抱怨疤痕增生的情形，同時在術後兩年的追蹤內，也沒有發現復發的情況。 結論： 藉由本文提到的外眥成形術，可以有效地增加眼眶寬度，同時加強雙眼皮手術後的美觀效果，但同時可能使外側眼角變窄，角度變平，因此在病人的選擇上必須特別注意，眼角較窄、下垂的病人可能不適合本手術。
關鍵字
無資料並列摘要
Background: The effect of upper blepharoplasty was sometimes limited in some small eyes with narrow orbital fissures. The combination of lateral canthoplasty can elongate the lateral palpebral fissure and bring wider and larger eyes. The aesthetic effect of upper blepharoplasty was enhanced as a result. In our study, we present a simple and easy-to-perform method of lateral canthoplasty. Material and Methods: We performed cosmetic lateral canthoplasty in 10 cases from September 2007 to August 2008. All the patients came for a cosmetic reason and in most cases, upper blepharoplasty were performed at the same time. A Y-V flap was designed with two short limb along upper and lower eyelid margin. The tip of the flap was advanced laterally to the point of new lateral canthus. Fixation of subcutaneous tissue to the periosteum of orbit was performed to prevent recurrence. Results: All the ten patients were satisfied with the result. The operative scars were aesthetically acceptable and no hypertrophic scars were complained. Conclusion: The balanced lateral canthoplasty is a simple and effective, although not perfect, procedure which can enhance the aesthetic result by lengthening the palpebral fissure. This causes the eye to appear longer, larger and brighter.