Clinical efficacy of improved method of inverted L-shaped incision combined with medial canthal tendon plication for moderate and severe epicanthus correction

Abstract

Objective To explore the clinical effect of inverted L-shaped incision combined with medial canthal tendon plication for moderate and severe epicanthus correction. Methods Improved method of inverted L-shaped incision combined with medial canthal tendon plication were performed in 42 cases of moderate and severe epicanthus. The epicanthus covered more than 50% lacrimal caruncle with single-fold eyelids or unconspicuous double-fold eyelids. Among them, 40 cases received double-eyelid plasty simultaneously. Results The follow-up time of 38 cases ranged from 6 to 24 months. 37 cases received double-eyelid plasty simultaneously. All the patients obtained satisfactory results aesthetically, the contours of two eyelid fissures and the double-eyelid radian looked more natural postoperatively. There was no reoccurrence of epicanthus. Mild scar proliferation was observed in all of the patients in the early 1-2 months of postoperative period and then would fade within three months. Conclusions It is effective to correct epicanthus by improved method of inverted L-shaped incision combined with medial canthal tendon placation. Key words: Medial epicanthus; Double eyelid plasty