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Klin Monbl Augenheilkd 2016; 233(01): 50-53
DOI: 10.1055/s-0041-109404
Übersicht
Georg Thieme Verlag KG Stuttgart · New York

Chirurgische Behandlung des medialen Epikanthus durch Hautersatz

Surgical Treatment of Medial Epicanthus by Skin Replacement
M. J. Pfeiffer
Okuloplastische Chirurgie, Augenlidpraxis, München
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Further Information

Publication History

eingereicht 19 October 2015

akzeptiert 05 November 2015

Publication Date:
21 January 2016 (online)

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Zusammenfassung

Als Epikanthus bezeichnet man eine Hautfalte, die vor dem medialen Lidwinkel liegt. Diese Falte kommt gewöhnlich bei der asiatischen Bevölkerung in verschieden ausgeprägten Varianten vor. Bei der kaukasischen Bevölkerung findet man einen Epikanthus im Rahmen von einigen Syndromen, z. B. Blepharophimosesyndrom (BPES) oder Down-Syndrom. Die Epikanthusfalte entsteht durch übermäßige Spannung der Haut bei Hautmangel oder durch überbrückendes subkutanes Gewebe zwischen Oberlid und Unterlid. Die chirurgische Korrektur erfolgt durch Entlastung der Spannung und Ersatz der fehlenden Haut mittels großflächiger plastischer Hautverschiebung oder Hauttransplantation.

Abstract

Epicanthus is a skin fold covering the inner angle of the eyelid. This fold is typical in the Asian population. It can be observed in a great variety of degrees. In the Caucasian population, epicanthus is associated with some syndromes, such as blepharophimosis syndrome and Downʼs syndrome. The epicanthal fold originates from excessive tension in the skin and is caused by skin deficit and/or by bridging subcutaneous tissue. The epicanthal fold can be surgically corrected by reducing tension and fully replacing the skin defect by skin redraping or skin grafting.

Schlüsselwörter

Epikanthus - Epikanthoplastik - Mongolenfalte - Pseudoepikanthus - Hautverschiebeplastik - Hauttransplantation

Key words

epicanthus - epicanthoplasty - mongolian fold - pseudoepicathus - skin redraping - skin graft
 

  • Literatur

  • 1 Patel BC, Langer P, Anderson RL. Modification of Mustardé technique for correction of epicanthus in Asian patients. Plast Reconstr Surg 1995; 95: 615-617
    CrossrefPubMedGoogle Scholar
  • 2 Song X, Jia R, Zhu H et al. A modified staged surgical intervention for blepharophimosis-ptosis-epicanthus inversus syndrome: 125 cases with encouraging results. Ann Plast Surg 2015; 74: 410-417
    CrossrefPubMedGoogle Scholar
  • 3 Taylor A, Strike PW, Tyers AG. Blepharophimosis-ptosis-epicanthus inversus syndrome: objective analysis of surgical outcome in patients from a single unit. Clin Experiment Ophthalmol 2007; 35: 262-269
    CrossrefPubMedGoogle Scholar
  • 4 Tyers A, Meyer-Rüsenberg HW. [Blepharophimosis ptosis epicanthus inversus syndrome (BPES) (corrected)]. Klin Monatsbl Augenheilkd 2012; 229: 28-30
    Article in Thieme ConnectPubMedGoogle Scholar
  • 5 Yoon K. Modification of Mustardé technique for correction of epicanthus in Asian patients. Plast Reconstr Surg 1993; 92: 1182-1186
    CrossrefPubMedGoogle Scholar
  • 6 Chung YJ, Kong JS, Kim YW et al. Restoration of the medial epicanthal fold: reverse skin redraping method in patients unsatisfied with epicanthoplasty. Ann Plast Surg 2013; 71: 456-460
    CrossrefPubMedGoogle Scholar
  • 7 Kim CY, Lee SY. Structural and cosmetic outcomes of medial epicanthoplasty: an outcome study of three different techniques. J Plast Reconstr Aesthet Surg 2015; 68: 1346-1351
    CrossrefPubMedGoogle Scholar
  • 8 Oh J, Lee K. Medial lower lid epiblepharon repair solely by skin-redraping medial epicanthoplasty. Br J Ophthalmol 2014; 98: 1437-1441
    CrossrefPubMedGoogle Scholar
  • 9 Oh YW, Seul CH, Yoo WM. Medial epicanthoplasty using the skin redraping method. Plast Reconstr Surg 2007; 119: 703-710
    CrossrefPubMedGoogle Scholar