Comparison On Clinical Curative Effect Of Three Epicanthoplasty With Double Eyelidplasty

Objective:By observing palpebral fissure width,intercanthal distance,lacrimal caruncle exposure score,medial canthus angle,scar,and relapse,it provides an objective assessment on the clinical curative effects of Z-plasty,V-Y plasty and Transverse-one's plasty with double eyelidplasty.Method:Five hundred and three consecutive patients that underwent epicanthoplastyhad been enrolled in this study based on the cases from Suzhou Aist Cosmetic Surgery Hospitalinthe course of internship from March 2016 to March 2017.All patients were divided into three groups named A,B and C,with each group further broken down into two subgroups,subgroup one and two,based on various epicanthus severities.Data collection and comparison analyses were based on before and after changes and also between groups.All statistical analyses were primarily implemented on SPSS19.0.Results: Five out of 503 patients were infected,all remaining patients were primarily healing.The follow-up interview time ranges from within 1 week up to 12 months.The intercanthal distance and medial canthus angle have decreased significantly post-surgery,and other indexes of all cases have improved(P<0.01).PFW/ICD: There is no significant difference between group A and B(P>0.05).Transverse-one's plasty is higher than the other two plasties in group C(P<0.05).There is no difference between subgroup one and two(P>0.05).LCES,?: There is no significant difference between three plasties of all cases(P>0.05).There is no significant difference between subgroup one and two(P>0.05).POSAS: V-Y plasty is higher than the other plasties in group C(P<0.05).No significant difference between three plasties in group A and B(P>0.05).No significant difference between subgroup one and two(P>0.05).Relapse: V-Y plasty is highest,subgroup two is higher than subgroup one.Conclusion: 1.All three epicanthoplasties are evidenced to improve palpebral fissure width,increase lacrimal caruncle exposure,decrease medial canthus angle and intercanthal distance.2.Z-plasty and Transverse-one's plasty are widely applicated to all cases,and the latter one is proved to be more effective in improving PFW/ICD;V-Y plasty is prone to scarring when dealing with severe epicanthus,and has higher exposure to relapse risks.