Journal of the Korean Ophthalmological Society 2007;48(5):618-622.
Published online May 31, 2007.
Modified Simple Excision for Epicanthal Folds.
Byung Jin Jeong, Dong Su Shin, Kyoo Won Lee
Department of Ophthalmology, Cheil Eye Hospital, Daegu, Koera. healeye@nate.com
변형된 단순절제를 이용한 눈구석주름의 치료
정병진,신동수,이규원
Department of Ophthalmology, Cheil Eye Hospital, Daegu, Koera
Correspondence:  Byung Jin Jeong, M.D.
Abstract
PURPOSE
To evaluate the effect of modified simple excision for epicanthal folds. METHODS: Eight patients with the epicanthal folds were treated using a modified simple excision method from June to December 2005. After medial traction of the epicanthal fold to expose the medial canthus, parabola-shaped marking was done near mucocutaneous junction. Under local anesthesia, incision of skin, dissection of subcutaneous tissue and excision of subcutaneous fibrous tissue and orbicularis oculi muscle were done. After marking the medial canthus on the skin, a wedge-shaped excision of the extra skin was done. Fixation sutures to the medial canthal tendon and skin sutures were then performed. RESULTS: Eight participants were evaluated (four males and four females) with a mean age of 16.71+/-8.34 years. The mean follow-up period was 42.86+/-5.80 days. After the operation, the skin scar was not visible due to its deep position, and no complication, such as damage to the lacrimal canaliculus or sac, was observed. CONCLUSIONS: Modified simple excision for epicanthal folds is an effective method that does not leave a visible scar.
Key Words: Epicanthal folds;Medial canthus;Modified simple excision
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