title: Modified split V-W plasty for entropion with an epicanthal fold in Asian eyelids.
abstract: BACKGROUND
  The epicanthal fold, which is peculiar to East Asians, forms an arch across the medial canthus in parallel with the nose. It is often accompanied by entropion of the medial eyelid. Although many surgical procedures have been described for correction of the epicanthal fold, none has reported a procedure to treat the epicanthal fold and entropion at the same time. The authors have performed a modified split V-W plasty to simultaneously correct entropion and to modify the epicanthal fold.
  
  
  METHODS
  From January of 1998 to December of 2002, we have performed a modified split V-W plasty in 20 cases. The preoperative and postoperative medial canthal distances and palpebral fissure width were measured, and the extent of postoperative scarring and improvement of the epicanthal fold and entropion were reviewed.
  
  
  RESULTS
  This method provided good results, including an inconspicuous scar, release of the epicanthal fold, and improvement of entropion.
  
  
  CONCLUSIONS
  The authors believe that the modified split V-W plasty is available to eliminate entropion with an epicanthal fold in Asian eyelids.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Kyoto Prefectural University of Medicine and Osaka Police Hospital, Japan. f-taka@koto.kpu-m.ac.jp
authors.forename: Takashi
authors.initials: T
authors.lastname: Fujiwara
authors.forename: Motomu
authors.initials: M
authors.lastname: Maeda
authors.forename: Katsuki
authors.initials: K
authors.lastname: Kuwae
authors.forename: Kenichi
authors.initials: K
authors.lastname: Nishino
mesh_terms: D000293:Adolescent; D000328:Adult; D044466:Asian People; D019882:Blepharoplasty / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D002921:Cicatrix / Q000209:etiology; D004774:Entropion / Q000601:surgery*; D005143:Eyelids / Q000033:anatomy & histology; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D016896:Treatment Outcome