Postsurgical lateral canthal web correction using vertical Z-plasty combined with 5-fluorouracil (5-FU) injections.

IF 1.4 4区医学 Q3 OPHTHALMOLOGY

International Ophthalmology Pub Date : 2025-08-23 DOI:10.1007/s10792-025-03723-y

Ayşe Dolar Bilge, Bülent Yazıcı

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引用次数: 0

Abstract

Purpose: To evaluate the surgical outcomes of lateral canthus reconstruction using vertical Z-plasty combined with canthoplasty and 5-fluorouracil (5-FU) injections in patients with post-surgical lateral canthal webbing.

Methods: A retrospective review was conducted on 11 patients (17 eyelids) who underwent lateral canthal reconstruction between 2021 and 2024 due to post-surgical lateral canthal webbing. The technique involved vertical Z-plasty combined with canthopexy or canthoplasty, along with 5-FU injections in all cases.

Results: No intraoperative complications were reported. During the follow-up period (mean 14 months; range 5-23 months), all cases showed significant improvement in lateral canthal webbing with no recurrence observed.

Conclusion: The Z-plasty technique effectively corrected lateral canthal webbing without significant scarring. This method is particularly beneficial in patients with prior multiple surgeries, significant scarring, and vertical skin contraction. In cases with concurrent horizontal eyelid shortening, the technique was successfully combined with a periosteal flap to restore lower eyelid length.

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应用垂直z形成形术联合5-氟尿嘧啶（5-FU）注射进行术后侧眦网矫正。

目的：评价垂直z形成形术联合5-氟尿嘧啶（5-FU）注射治疗术后侧眦织带的手术效果。方法：对11例（17眼睑）因术后眦赘带行侧眦重建的患者进行回顾性分析。该技术包括垂直z形成形术联合眦固定术或眦成形术，以及所有病例的5-FU注射。结果：无术中并发症。在随访期间（平均14个月，范围5-23个月），所有病例侧眦赘带均有明显改善，无复发。结论：z -成形术能有效矫正侧眦带，无明显瘢痕形成。这种方法对既往多次手术、有明显疤痕和皮肤垂直收缩的患者特别有益。在同时出现水平眼睑缩短的病例中，该技术成功地与骨膜瓣结合以恢复下眼睑长度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Ophthalmology OPHTHALMOLOGY-

CiteScore

3.20

自引率

0.00%

发文量

451

期刊介绍： International Ophthalmology provides the clinician with articles on all the relevant subspecialties of ophthalmology, with a broad international scope. The emphasis is on presentation of the latest clinical research in the field. In addition, the journal includes regular sections devoted to new developments in technologies, products, and techniques.