摘要
目的:探讨应用矩形推进皮瓣修复睑缘眼睑缺损的效果。方法:对36例睑缘肿物切除的眼睑缺损患者,采用矩形或双矩形推进皮瓣修复眼睑前层缺损。眼睑后层睑板缺损小于5mm者,采用直接缝合法;睑板缺损大于5mm者,采用睑板睑结膜瓣移行法。结果:36例患者皮瓣全部成活,切口Ⅰ期愈合,手术瘢痕轻微﹑睫毛无缺失﹑无倒睫﹑睑缘圆滑无切迹畸形。结论:在合并睑缘缺损的眼睑缺损修复中使用矩形推进皮瓣,具有良好的美容效果。
Objective To evaluate the result of using rectangular advacement flaps for repairing the eyelid detects at the edges of palpebra, Methods We have used rectangular or double rectangular advacement flaps to repair the defects of the antieror margin of eyelid in 36 cases.To repair the posterior margin defects ,when the defects of the tarsal plates were shorter than 5mm,the tarsal plates were closed directly, longer than 5mm ,sliding tarsal palpebral conjunctive flaps were to be used. Results In 36 cases all of the flaps were survived with primary healing, slight scar, no absence of eyelashes, no notch deformity at the edge of palpebra, no trichiasis, Conclusion Using rectangle advacement flap to repair the defect of eyelid at the eldge of eyelid has a good cosmetic results.
出处
《中国美容医学》
CAS
2007年第11期1516-1518,共3页
Chinese Journal of Aesthetic Medicine
关键词
推进皮瓣
眼睑
重建
advacement flap
eyelid
recontruction
