摘要
目的介绍老年人内眦及鼻根部肿物切除术后修复皮肤软组织缺损的经验与方法。方法在修复内眦及鼻根部肿物切除术后皮肤软组织缺损时，可参考内外眦连线。创面位于连线以上为主时，首先应用眉间皮瓣转位修复，残余创面应用下睑推进旋转皮瓣修复；创面位于连线以下为主时，首先应用下睑皮瓣修复创面，残余创面应用眉间皮瓣修复。结果15例患者术后皮瓣全部成活，无明显并发症发生。其中9例随访1～24个月，修复皮瓣与周围皮肤组织在色泽、质地、轮廓等方面有较好的匹配；眼睑及内眦形态自然美观，未见畸形；肿瘤无复发；切口的瘢痕平软且较隐蔽；面部轮廓及视觉效果良好，其形态及美学效果均满意。结论应用内眦及鼻根部周围单个局部皮瓣或联合局部皮瓣修复内眦及鼻根部创面，是获得较为满意的面部形态及美容效果的修复方法之一。
Objective To describe our experience and method of reconstruction after resection of tumors around inner canthus and nasion in the elderly. Methods The line between outer and inner canthus was considered during reconstruction. If the surface of wound after resection was above this line, glabellar flap was used to reconstruct the upper part and the residual defect was repaired with advancement of lower eyelid and rotation of flap. If the surface of wound was below this line, lower eyelid flap was used and the residual defect was reconstructed with giabellar flap. Results All flaps survived without any significant complications. 9 cases among 15 patients were followed up from 1 to 24 months. Repaired tissues all matched well with surrounding tissue in color, texture, and outline. Eyelid and medial canthal were not disturbed and there was no tumor recurrence. Scars were smoothy, soft and hidden with satisfactory appearance and vision. Conclusions Single local flap or combined local skin flaps around the nasion and inner canthus is one of reconstruction methods to get satisfactory cosmetic effect or facial morphology.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2012年第4期319-321,共3页
Chinese Journal of Geriatrics
关键词
皮肤肿瘤
外科皮瓣
Skin neoplasms
Surgical {laps
