风筝皮瓣修复眼睑前层及中面部皮肤缺损  

Rehabilitation of the anterior lamella of eyelids and midfacial skin defects with kite flap

作　　者：刘桂琴[1] 周凤[1] 欧阳明[1] 蒋丽琼[1] 

机构地区：[1]暨南大学第二临床学院深圳市眼科医院,深圳518001

出　　处：《中国实用眼科杂志》2011年第2期164-167,共4页Chinese Journal of Practical Ophthalmology

摘　　要：目的评价风筝皮瓣修复合并或不合并中面部皮肤缺损的眼睑前层缺损的疗效。方法自2008年1月至2010年3月，以面部皮下组织为蒂，设计“风筝”皮瓣，联合或不联合硬腭黏膜移植，修复合并或不合并中面部皮肤缺损的眼睑缺损共10例。眼睑前层或和中面部皮肤缺损面积为（1．2-6．5）cm^2、（0．7～4．0）cm^2。其中下眼睑中央水平方向4／5、垂直方向完全全层缺损合并颧颊部皮肤缺损1例，下睑内侧水平方向1／2、垂直方向完全全层缺损、下泪小点下泪小管缺损合并中面部皮肤缺损1例，下睑水平及垂直方向均完全全层缺损合并下泪小点及下泪小管缺损1例，上下睑水平方向完全、垂直方向1／3全层缺损合并上下泪小点泪小管缺损1例，下睑中央水平方向4／5、垂直方向完全全层缺损合并颧颊部皮肤缺损1例，全上眼睑前层及颞部皮肤缺损1例，下睑内侧水平方向1，3、垂直方向1／5前层缺损1例，上下睑中央水平方向2／3、上睑垂直方向1／3，下睑垂直方向2／3全层缺损1例，上下睑内侧1／3前层及内眦内侧皮肤缺损合并上下泪小点缺损1例，外眦外侧前层及颞部皮肤缺损1例。结果皮瓣均无张力修复缺损，皮瓣及硬腭黏膜均全部成活，眼睑外形、功能完全恢复。结论风筝皮瓣是修复眼睑缺损及面部皮肤缺损的良好方法。Objective To evaluate the effect of rehabilitating the anterior lamella of eyelids and midfacial skin defects with kite flap. Methods From January 2008 to March 2010;with or without combination of a hard palate mucosal grafts, the kite flap on a subcutaneous pedicle have been used to repair defect in the anterior lamella of eyelids and midfaeial skin in 10 patients. The area of the defect in the anterior lamella of eyelids and midfacial skin ranged from （ 1.2-6.5 ）× （0.8-4）cm. Among them, defects span central 4/5 in horizontal direction and complete in vertical direction in full-thickness lower eyelid and partes zygomatica skin in 2 patient, medial 1/2 in horizontal direction and complete in vertical direction and puncta and canaliculus in full-thickness lower eyelid and midface skin in 1 patient, complete lower eyelid and inferior puneta and canaliculus in 1 pa- tient, complete in horizontal direction and 1/3 in vertical direction and puncta and canaliculus both in full-thickness upper and lower eyelids in 1 patient, complete anterior layer of upper eyelid and temples skin in 1 patient, medial 1/3 in horizontal direction and 1/5 in vertical direction in the anterior lamella of lower eyelid in 1 patient, central 2/3 in horizontal direction and 1/3 in vertical direction in full-thickness upper eyelid, and central 2/3 in horizontal direction and 2/3 in vertical direction in full-thickness lower eyelid in 1 patient, medial 1/3 of anterior lamella and puncta and canaliculus both in upper and lower eyelid and inside skin of medial canthus in 1 patient, outside skin of outer canthus and temples skin in 1 patient. Results All flaps and hard palate mucosal grafts were survived. All defects were repaired without tention. The cosmetic appearance and function of eyelids rehabilitated. Conelusions The kite flap provides a competitive method for repairing the anterior lamella of eyelids and facial skin defects.

关 键 词：眼睑缺损 风筝皮瓣 硬腭黏膜 

分 类 号：R782.26[医药卫生—口腔医学]