局部皮瓣修复外眦皮肤缺损的疗效探讨
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摘要
目的:探讨应用局部皮瓣修复外眦缺损的方法及效果。方法:使用局部皮瓣修复外眦部皮肤缺损10例,创面面积约l.2cm×1.2cm～2.6cm×3.3cm。根据创面位置及大小,分别选择推进皮瓣、菱形皮瓣、Burow’s楔形皮瓣、皮下蒂风筝皮瓣方法进行修复。结果:10例患者皮瓣均完全成活,术后随访6个月～3年,其外观形态良好,效果满意,肿瘤无复发。结论:修复外眦部皮肤缺损时,选取合适的局部皮瓣,并注意保持和恢复外眦美容单位的完整性,可取得良好的形态与功能效果。
Objective To explore the method and effect of reconstructing external canthal defects. Methods 10 cases of external canthal defects were treated with local skin flap. The defect area was varied from 1.2 cm×1.2 cm to 2.6 cm×3.3 cm. According to the size and location of the defects, different local flaps such as advanced flaps, rhomboid skin flap, Burow's flap, subcutaneous "kite" flap were selected and designed to repair the skin defects. Results After 6 months to 3 years follow up, all the flaps survived with satisfactory esthetic results postoperatively, and no tumor recurrence occurred. Conclusion In the repair of external canthus skin defects.to maintain and restore the cosmetic unit integrity of external canthus by using suitable local flaps would lead to a satisfying restoration of function and appearance.
Objective To explore the method and effect of reconstructing external canthal defects. Methods 10 cases of external canthal defects were treated with local skin flap. The defect area was varied from 1.2 cm×1.2 cm to 2.6 cm×3.3 cm. According to the size and location of the defects, different local flaps such as advanced flaps, rhomboid skin flap, Burow's flap, subcutaneous "kite" flap were selected and designed to repair the skin defects. Results After 6 months to 3 years follow up, all the flaps survived with satisfactory esthetic results postoperatively, and no tumor recurrence occurred. Conclusion In the repair of external canthus skin defects.to maintain and restore the cosmetic unit integrity of external canthus by using suitable local flaps would lead to a satisfying restoration of function and appearance.
引文
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[13]Bickle K,Bennett RG.Tripier flap for medial lower eyelid reconstruction[J].Dermatol Surg,2008,34(11):1545-1548.
[14]官纯平,黎涛,胡斌,等.局部皮瓣在眼周美容整形中的应用[J].中国美容整形外科杂志,2006,17(5):371-372.
[15]熊柯,陈林江,谭青,等.皮下蒂皮瓣在眼睑缺损修复中的应用[J].中华医学美学美容杂志,2016,22(1):55-56.
[16]Baj A,Russillo A,Segna E,et al.Nasal reconstruction:our experience[J].J Biol Regul Homeost Agents,2017,31(2 Suppl 1):169-174.
[2]Skin Cancer Foundation.Skin cancer facts[EB/OL].(2015-10-5).http://www.skincancer.org/skin-cancer-information/skin-cancer-facts.
[3]陈从柏,肖洋.不同成形技术修复眼睑肿瘤切除后缺损的美学效果观察[J].中国美容医学,2017,26(5):75-78.
[4]Yin VT,Merritt HA,Sniegowski M,et a1.Eyelid and ocular surface carcinoma:diagnosis and management[J].Clin Dermatol,2015,33(2):159-169.
[5]Bichakjian CK,Olencki T,Aasi SZ,et al.Basal cell skin cancer,Version 1.2016, NCCN clinical practice guidelines in oncology[J]. J Natl Compr Canc Netw,2016,14(5):574-597.
[6]Dias FC,Danielski A,Forster K,et al.Use of a subdermal plexus flap to reconstruct an upper eyelid following radical tumor resection in a cat[J].J Am Vet Med Assoc,2017,250(2):211-214.
[7]杨超,邢新.眼睑缺损的修复[J].中国美容整形外科杂志,2009,20(3):129-130.
[8]刘天一,杨群.眼睑缺损的研究进展及评价[J].中国美容整形外科杂志,2010,21(1):1-4.
[9]Chang EI,Esmaeli B,Butler CE.Eyelid reconstruction[J].Plast Reconstr Surg,2017,140(5):724e-735e.
[10]李秀琪,王太玲,李无言,等.眼睑分裂痣的手术方法选择[J].中华整形外科杂志,2015,31(2):96-99.
[11]Singh M,Gautam N,Kaur M,et al.Role of amniotic membrane and full-thickness skin graft in reconstruction of kissing nevus of eyelids[J].Indian J Ophthalmol,2017,65(11):1219-1223.
[12]李军辉,邢新.皮瓣移植技术的发展趋势[J].中国美容整形外科杂志,2007,18(2):81-83.
[13]Bickle K,Bennett RG.Tripier flap for medial lower eyelid reconstruction[J].Dermatol Surg,2008,34(11):1545-1548.
[14]官纯平,黎涛,胡斌,等.局部皮瓣在眼周美容整形中的应用[J].中国美容整形外科杂志,2006,17(5):371-372.
[15]熊柯,陈林江,谭青,等.皮下蒂皮瓣在眼睑缺损修复中的应用[J].中华医学美学美容杂志,2016,22(1):55-56.
[16]Baj A,Russillo A,Segna E,et al.Nasal reconstruction:our experience[J].J Biol Regul Homeost Agents,2017,31(2 Suppl 1):169-174.