COMBINED THREE OPERATIONS FOR ONE STAGE DEFECTS REPAIR AFTER RESECTION OF LARGE XANTHELASMA PALPEBRARUM WITH EPICANTHUS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

ZENGLinghuan ¹ ,  CHENJunjie ² ,  CENYing ² , LEILei ¹ , QINXiaohui ¹ , WANGYa ¹ , ZENGChuanxiu ¹

1. Department of Plastic Surgery, Sichuan Integrative Medicine Hospital, Chengdu Sichuan, 610041, P. R. China;
2. Department of Burn and Plastic Surgery, West China Hospital, Sichuan University;

Corresponding author：

CHENJunjie, Email: cjjemail@163.com; CENYing, Email: cenying0141@163.com

Keywords：

Xanthelasma palpebrarum; Rotated total upper eyelid skin flap; Construction of double eyelid; Epicanthal plasty

DOI：

10.7507/1002-1892.20160230

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Objective To investigate the effectiveness of combined three operations (rotated total upper eyelid skin flap, construction of double eyelid, and "Z" flap epicanthal plasty) for one stage defect repair after resection of xanthelasma palpebrarum with epicanthus. Methods Between December 2013 and December 2015, 12 female patients with large xanthelasma palpebrarum and epicanthus underwent rotated total upper eyelid skin flap, construction of double eyelid, and "Z" flap epicanthal plasty for one stage defect repair. The age ranged from 36 to 59 years (mean, 43 years). The course of disease was 3 to 16 years, with an average of 11 years. The initial resection was performed in 6 cases, second resection of residual xanthelasma palpebrarum in 4 cases, and 2 cases had recurrence after resection. The maximum diameter of xanthelasma palpebrarum was 0.5-1.3 cm (mean, 1.0 cm). According to CHE Junmin et al criterion, epicanthus was rated as mild in 7 cases, moderate in 3 cases, and severe in 2 cases. The blood lipid level was in normal range. Results Primary healing of incision was obtained, and the flaps survived in all patients; no complication occurred. Scar hyperplasia was found in 4 cases at 1 month after operation, and the comprehensive treatment of scar was performed. All patients were followed up for 3 months to 2 years, with an average of 1.5 years. Double eyelid effects were good, and no xanthelasma palpebrarum recurred. Conclusion A combination of rotated total upper eyelid skin flap, construction of double eyelid, and "Z" flap epicanthal plasty is an effective operative procedure to repair defect after resection of xanthelasma palpebrarum with epicanthus; and better curve of double eyelid, better shape of endocanthion, and less tension of flap can be got.

Citation： ZENGLinghuan, CHENJunjie, CENYing, LEILei, QINXiaohui, WANGYa, ZENGChuanxiu. COMBINED THREE OPERATIONS FOR ONE STAGE DEFECTS REPAIR AFTER RESECTION OF LARGE XANTHELASMA PALPEBRARUM WITH EPICANTHUS. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(9): 1130-1133. doi: 10.7507/1002-1892.20160230 Copy

1.	Yang Y, Sun J, Xiong L, et al. Treatment of xanthelasma palpebrarum by upper eyelid skin flap incorporating blepharoplasty. Aesthetic Plast Surg, 2013, 37(5):882-886.
2.	罗东升, 潘宁, 熊俊浩, 等.睑黄瘤切除联合上睑松弛成形术的临床研究.四川医学, 2011, 32(11):1700-1702.
3.	郑涛, 邵英, 林泉, 等. "Ω"形皮瓣法联合上睑皮肤松弛矫正术在老年人睑黄瘤切除后缺损修复中的应用.中国老年学杂志, 2014, 34(8):2144-2146.
4.	李栋梁, 李庆霞, 冉亮, 等.全上睑皮瓣在睑黄瘤切除创面修复中的应用.中国美容医学, 2002, 11(3):265.
5.	车俊敏, 程辉龙. 2680名大中学生内眦赘皮的调查.中国临床解剖学杂志, 2000, 18(4):390.
6.	朱光辉, 张树青, 高培培. Z成形术矫正内眦赘皮的效果观察.中国美容医学, 2016, 25(4):7-9.
7.	Wang S, Shi F, Luo X, et al. Epicanthal fold correction:our experience and comparison among three kinds of epicanthopalsties. J Plast Reconstr Aesthet Surg, 2013, 66(5):682-687.
8.	韩芷敏, 曹国平, 董莉莉.眼睑黄色瘤的手术治疗体会.中国美容医学, 2011, 20(1):42.
9.	Beergman R. The pathogenesis and clinical significance of xanthelasma palpebrarum. J Am Acad Dermatol, 1994, 30(2 Pt 1):236-242.
10.	汤恭锋.超脉冲CO₂激光与液氮冷冻治疗睑黄瘤的疗效比较及分析.中国美容医学, 2015, 24(22):46-48.
11.	Wang H, Shi Y, Guan H, et al. Treatment of xanthelasma palpebrarum with intralesional pingyangmycin. Dermatol Surg, 2016, 42(3):368-376.
12.	李凤鸣.中华眼科学. 2版.北京:人民卫生出版社, 2005:886.
13.	DoiH, Ogawa Y. A new operative method for treatment of xanthelasma or xanthelasma palpebrarum:microsurgical inverted peeling. Plast Reconstr Surg, 1998, 102(4):1171-1174.
14.	Kose R. Treatment of large xanthelasma palpebrarums with full-thickness skin grafts obtained by blepharoplasty. J Cutan Med Surg, 2013, 17(3):197-200.
15.	Uemura T, Yanai T, Yasuta M, et al. Switch flap for upper eyelid reconstruction-how soom should the flap be divided? Plast Reconstr Surg Glob Open, 2016, 4(4):e695.
16.	Kesiktas E, Eser C, Gencel E, et al. A useful flap combination in wide and complex defect reconstruction of the medial canthal region:Glabellarrotation and nasolabial V-Y advancement flaps. Plast Srug (Oakv), 2015, 23(2):113-115.
17.	戴海英, 杨超, 张敬德, 等.眼睑局部皮瓣在修复睑缘色素痣切除后创面中的应用.中国美容医学, 2010, 19(11):1612-1614.
18.	李旭东, 赵烨德, 周强, 等. A-T皮瓣在面部皮肤缺损修复中的应用.中国美容医学, 2014, 23(23):1957-1958.

1. Yang Y, Sun J, Xiong L, et al. Treatment of xanthelasma palpebrarum by upper eyelid skin flap incorporating blepharoplasty. Aesthetic Plast Surg, 2013, 37(5):882-886.
2. 罗东升, 潘宁, 熊俊浩, 等.睑黄瘤切除联合上睑松弛成形术的临床研究.四川医学, 2011, 32(11):1700-1702.
3. 郑涛, 邵英, 林泉, 等. "Ω"形皮瓣法联合上睑皮肤松弛矫正术在老年人睑黄瘤切除后缺损修复中的应用.中国老年学杂志, 2014, 34(8):2144-2146.
4. 李栋梁, 李庆霞, 冉亮, 等.全上睑皮瓣在睑黄瘤切除创面修复中的应用.中国美容医学, 2002, 11(3):265.
5. 车俊敏, 程辉龙. 2680名大中学生内眦赘皮的调查.中国临床解剖学杂志, 2000, 18(4):390.
6. 朱光辉, 张树青, 高培培. Z成形术矫正内眦赘皮的效果观察.中国美容医学, 2016, 25(4):7-9.
7. Wang S, Shi F, Luo X, et al. Epicanthal fold correction:our experience and comparison among three kinds of epicanthopalsties. J Plast Reconstr Aesthet Surg, 2013, 66(5):682-687.
8. 韩芷敏, 曹国平, 董莉莉.眼睑黄色瘤的手术治疗体会.中国美容医学, 2011, 20(1):42.
9. Beergman R. The pathogenesis and clinical significance of xanthelasma palpebrarum. J Am Acad Dermatol, 1994, 30(2 Pt 1):236-242.
10. 汤恭锋.超脉冲CO₂激光与液氮冷冻治疗睑黄瘤的疗效比较及分析.中国美容医学, 2015, 24(22):46-48.
11. Wang H, Shi Y, Guan H, et al. Treatment of xanthelasma palpebrarum with intralesional pingyangmycin. Dermatol Surg, 2016, 42(3):368-376.
12. 李凤鸣.中华眼科学. 2版.北京:人民卫生出版社, 2005:886.
13. DoiH, Ogawa Y. A new operative method for treatment of xanthelasma or xanthelasma palpebrarum:microsurgical inverted peeling. Plast Reconstr Surg, 1998, 102(4):1171-1174.
14. Kose R. Treatment of large xanthelasma palpebrarums with full-thickness skin grafts obtained by blepharoplasty. J Cutan Med Surg, 2013, 17(3):197-200.
15. Uemura T, Yanai T, Yasuta M, et al. Switch flap for upper eyelid reconstruction-how soom should the flap be divided? Plast Reconstr Surg Glob Open, 2016, 4(4):e695.
16. Kesiktas E, Eser C, Gencel E, et al. A useful flap combination in wide and complex defect reconstruction of the medial canthal region:Glabellarrotation and nasolabial V-Y advancement flaps. Plast Srug (Oakv), 2015, 23(2):113-115.
17. 戴海英, 杨超, 张敬德, 等.眼睑局部皮瓣在修复睑缘色素痣切除后创面中的应用.中国美容医学, 2010, 19(11):1612-1614.
18. 李旭东, 赵烨德, 周强, 等. A-T皮瓣在面部皮肤缺损修复中的应用.中国美容医学, 2014, 23(23):1957-1958.

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Chinese Journal of Reparative and Reconstructive Surgery

COMBINED THREE OPERATIONS FOR ONE STAGE DEFECTS REPAIR AFTER RESECTION OF LARGE XANTHELASMA PALPEBRARUM WITH EPICANTHUS

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