岛状鼻中隔软骨粘膜瓣修复眼睑结膜和睑板缺损  

The septal chondromucosal island flap for tarsoconjunctival defects repair

作　　者：赵振民[1] 李森恺[1] 杨明勇[1] 李冬梅[2] 李养群[1] 穆兰花[1] 黄渭清[1] 刘元波[1] 翟弘峰[1] 

机构地区：[1]中国医学科学院中国协和医科大学整形外科医院,北京100041 [2]北京同仁医院眼科

出　　处：《中华整形外科杂志》2001年第2期69-71,I001,共4页Chinese Journal of Plastic Surgery

摘　　要：Objective\ This paper presents the experience in using the septal chondromucosal island flap in tarsoconjunctival defects repair. Methods\ The septal chondromucosal island flap based on the nasal alar basal artery and nerve was passed through the subcutaneous tunnel of the infraorbital region and sutured to the defect to reconstruct the tarsoconjunctival plate of the missing eyelid. The rotation arch of the flap had its pivot point lateral to the nasal ala. Results\ The procedure was performed on three patients. The postoperative course was uneventful. All the flaps survived completely. No operative complications occurred. Conclusions\ The technique provides well vascularized tissue with sensitive innervation, without damage to the other eyelid and severe deformities in the donor site. The septal chondromucosal island flap allows reconstruction of the tarsoconjunctival layers of the eyelid, providing cartilaginous support and a mucous lining. The flap can provide enough tissue to repair partial or entire tarsoconjunctival defects of the upper or lower eyelid or combined defects of the upper and lower eyelids. \;Objective\ This paper presents the experience in using the septal chondromucosal island flap in tarsoconjunctival defects repair. Methods\ The septal chondromucosal island flap based on the nasal alar basal artery and nerve was passed through the subcutaneous tunnel of the infraorbital region and sutured to the defect to reconstruct the tarsoconjunctival plate of the missing eyelid. The rotation arch of the flap had its pivot point lateral to the nasal ala. Results\ The procedure was performed on three patients. The postoperative course was uneventful. All the flaps survived completely. No operative complications occurred. Conclusions\ The technique provides well vascularized tissue with sensitive innervation, without damage to the other eyelid and severe deformities in the donor site. The septal chondromucosal island flap allows reconstruction of the tarsoconjunctival layers of the eyelid, providing cartilaginous support and a mucous lining. The flap can provide enough tissue to repair partial or entire tarsoconjunctival defects of the upper or lower eyelid or combined defects of the upper and lower eyelids. \;

关 键 词：眼睑结膜 睑板缺损 岛状鼻中隔软骨粘膜瓣 修复 

分 类 号：R622[医药卫生—整形外科] R779.6[医药卫生—外科学]