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Correction of severe congenital epicanthus using the modified square-flap method
British Journal of Plastic Surgery
|November 25, 2000
Summary
The modified square-flap method effectively corrects severe congenital epicanthus, offering good functional and cosmetic outcomes. This surgical technique is simple, with fewer incisions, making it a rational choice for this condition.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Reconstructive Surgery
Background:
- Cicatricial contracture correction often utilizes the square-flap method.
- Congenital epicanthus can lead to significant functional and cosmetic deformities.
Purpose of the Study:
- To evaluate the efficacy of a modified square-flap technique for severe congenital epicanthus.
- To describe the surgical design and discuss key aspects of the procedure.
Main Methods:
- A modified square-flap technique was applied to 46 cases (23 patients) of severe congenital epicanthus since 1990.
- Surgical design and operative steps were documented.
Main Results:
- The modified square-flap method yielded good functional and cosmetic results in all treated patients.
- The technique demonstrated effectiveness in relieving longitudinal shortness associated with the deformity.
Conclusions:
- The modified square-flap technique is an effective surgical option for severe congenital epicanthus.
- Advantages include rational design, simple operation, and minimal incisions.