眼轮匝肌肌皮瓣修复鼻眶部肿瘤切除后皮肤软组织缺损  

Repair of soft tissue defect after nasal-orbital tumor resection with orbicularis oculi muscle flap

作　　者：汪军[1] 姜会庆[1] 于攀[1] 

机构地区：[1]南京军区南京总医院烧伤整形科,江苏南京210002

出　　处：《中国美容整形外科杂志》2015年第9期539-542,共4页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的 探讨应用上睑眼轮匝肌肌皮瓣带蒂转移修复同侧鼻眶部肿物切除后皮肤软组织缺损的效果.方法 本组共11例患者.年龄60- 75岁;肿物位于鼻眶部.其中,基底细胞癌7例,鳞状细胞癌4例.肿物扩大切除后创面为2.0 cm×3.0 cm-2.5 cm×4.0 cm.应用同侧上睑眼轮匝肌肌皮瓣转移修复肿瘤切除后皮肤软组织缺损,切取皮瓣面积为1.0 cm×5.0cm-1.5 cm×4.0cm.结果 11例患者的上睑眼轮匝肌肌皮瓣完全成活,肌皮瓣色泽与周边皮肤相一致,术后供瓣侧睑裂无闭合不全及眼睑外翻畸形.结论 该方法适用于老年患者鼻根部肿瘤切除后较小范围的皮肤软组织缺损修复,术后功能及效果均较满意.Objective To discuss the curative effect of orbicularis oculi muscle flap on the repair of soft tissue defect after nasal-orbital tumor resection. Methods Eleven cases were from 60 to 75 years old, the tumors were located in the nasal orbital part, including 7 cases of basal cell carcinoma and 4 cases of squamous cell carcinoma. The size of wound after tumor resection ranged from 2.0 cm × 3.0 cm to 2.5 cm× 4.0 cm. The ipsilateral orbicuaris oculi muscle flap from upper eyelid was applied in repairing the skin and soft tissue defect after tumor excision, the length and width of the skin flap was 1.0 cm × 5.0 cm - 1.5 cm × 4.0 em. Results All orbicularis oculi muscle flaps from the upper eyelid survived completely and the flap color was consistent with the surrounding skin. Postoperative palpebral fissure at the donor site was without dysraphism and deformity of eyelid ectropion. Conclusion Application of orbicularis oculi muscle flap from the upper eyelid in repairing a small range of skin and soft tissue defect after tumor excision of nasal root is a better method for the elder patients.

关 键 词：眼睑 眼轮匝肌肌皮瓣 皮肤肿瘤 皮肤缺损 

分 类 号：R622[医药卫生—整形外科]