超宽前额肌皮瓣修复眼眶周围恶性肿瘤切除后缺损  

Repair of the defect left by orbital malignant tumor excision using the super-width forehead musculocutaneous flap

作　　者：白晓东[1] 柳晓杰[1] 刘贤华[2] 王佳哲[1] 陈伟[1] 

机构地区：[1]武警总医院烧伤整形科,北京100039 [2]武警总医院中心实验室,北京100039

出　　处：《医学研究生学报》2009年第11期1165-1166,1170,I0005,共4页Journal of Medical Postgraduates

基　　金：国家973项目"严重创伤救治与组织修复的基础研究"第三分题资助(批准号:2005CB522603)

摘　　要：目的:眼眶周围恶性肿瘤易侵犯皮肤、肌肉组织及上颌窦骨质,需扩大切除,但切除后存在较大缺损,伴有骨外露,修复缺损殊感困难。文中探讨应用超宽前额肌皮瓣修复眼眶周围恶性肿瘤切除后缺损的修复方法。方法:根据动脉吻合特点,采用以眶上动脉和滑车上动脉为蒂、形成超宽前额肌皮瓣,修复眼眶周围恶性肿瘤切除后缺损6例。结果:6例患者恶性肿瘤切除后缺损面积为5 cm×5 cm^8 cm×9 cm大小,骨质暴露。6例肌皮瓣全部成活,缺损一期修复。结论:以眶上动脉和滑车上动脉为蒂形成远端超宽前额肌皮瓣是修复眼眶周围恶性肿瘤切除后缺损的良好选择。Objective ： Orbital malignant tumor tends to infiltrate the skin, muscle and maxillae antrum. Its treatment requires enlarged surgery, which may cause bone exposure and make it difficult to repair the big wound. The purpose of this study was to explore the method of using the super-width forehead musculocutaneous flap to repair the postoperative wound. Methods ： Based on the features of arterial anastomisis, we used super-width forehead musculocutaneous flaps, with the supraorbital and supratrochlear arteries as the pedicle, to repair the wound following surgical excision of orbital malignant tumor in 6 patients. Results ： The wounds of the 6 patients were 5 ×5 to 8 × 9 cm^2 in size, with the related part of the skull exposed. The musculocutaneous flaps survived in all the patients and all the wounds were successfully repaired in the primary stage. Conclusion ： It is a good option to repair the defect left by orbital malignant tumor excision using super-width forehead musculocutaneous flaps with the supraorbital and supratrochlear arteries as the pedicle.

关 键 词：眼眶周围肿瘤 缺损 肌皮瓣 

分 类 号：R628[医药卫生—整形外科]