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. 2015 Nov;31(6):428-31.

[Therapeutic strategy for different types of epicanthus]

[Article in Chinese]
Li Gaofeng, Tan Jun, Wu Zihan, Ding Wei, Ouyang Huawei, Zhang Fan, Luo Mingcan
  • PMID: 27055321

[Therapeutic strategy for different types of epicanthus]

[Article in Chinese]
Li Gaofeng et al. Zhonghua Zheng Xing Wai Ke Za Zhi. 2015 Nov.

Abstract

Objective: To explore the reasonable therapeutic strategy for different types of epicanthus.

Methods: Patients with epicanthus were classificated according to the shape, extent and inner canthal distance and treated with different methods appropriately. Modified asymmetric Z plasty with two curve method was used in lower eyelid type epicanthus, inner canthus type epicanthus and severe upper eyelid type epicanthus. Moderate upper epicanthus underwent '-' shape method. Mild Upper epicanthus in two conditions which underwent nasal augumentation and double eyelid formation with normal inner canthal distance need no correction surgery. The other mild epicanthus underwent '-' shape method.

Results: A total of 66 cases underwent the classification and the appropriate treatment. All wounds healed well. During 3 to 12 months follow-up period, all epicanthus were corrected completely with natural contour and unconspicuous scars. All patients were satisfied with the results.

Conclusions: Classification of epicanthus hosed on the shape, extent and inner canthal distance and correction with appropriate methods is a reasonable therapeutic strategy.

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