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Efficacy of Inverted “V” Release Surgery in the Correction of a Special Type of Epicanthus

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  • Oculoplastic
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Abstract

Objective

To evaluate the efficacy of a new correction method (inverted “V” release surgery) for epicanthus as a cause of congenital entropion/trichiasis in the lower eyelid.

Methods

From May 2014 to May 2017, 60 eyes of 30 patients (13 male and 17 female patients, with the age of 6.85 ± 4.52 years underwent inverted “V” release surgery to correct epicanthus. The incision in the epicanthus and entropion was continuous. Lower eyelid entropion/trichiasis was corrected by a two-layered suture. We separately assessed the width of the palpebral fissure, exposed ratio of the lacrimal caruncle, eyelash direction, and incision scar at one and 6 months after surgery.

Results

All patients were followed up for 6–18 months. At 6 months after surgery, the palpebral fissure width of all patients was extended by 3–4 mm. The ratio of the exposed lacrimal caruncle was enhanced from 0.24 ± 0.22 to 0.75 ± 0.08. All patients presented with natural inner canthal angles, and their eyelashes clearly extended outward, with a 100% total effective rate. The inner canthal incision scars in 83% of patients were invisible 6 months after surgery.

Conclusion

Based on our experience, both functionality and aesthetics can be obtained by using inverted “V” release surgery to correct a special type of epicanthus that aggravates congenital entropion/trichiasis in the lower eyelid. Thus, this technique is suitable for clinical application.

Level of Evidence IV

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Acknowledgements

This study was funded by the Wuhan Institute of Health and Life Science Research (WX16D06) and Aier Eye Hospital Group (AF1510D13).

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Authors and Affiliations

  1. Department of Plastic Surgery, Hankou Aier Eye Hospital, Wuhan, 430024, China

    Yuhong Wang, Dongping Li & Fang Du

  2. Aier School of Ophthalmology, Central South University, Changsha, 410015, China

    Na Zhou & Junping Li

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  1. Yuhong Wang
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  2. Dongping Li
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  3. Fang Du
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  4. Na Zhou
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  5. Junping Li
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Correspondence to Yuhong Wang.

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The authors declare that they have no conflicts of interest.

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Wang, Y., Li, D., Du, F. et al. Efficacy of Inverted “V” Release Surgery in the Correction of a Special Type of Epicanthus. Aesth Plast Surg 42, 1304–1311 (2018). https://doi.org/10.1007/s00266-018-1190-2

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  • DOI: https://doi.org/10.1007/s00266-018-1190-2

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