眼轮匝肌蒂推进皮瓣在眼睑缺损修复中的应用  

Advanced orbicularis oculi muscle flap for eyelid defect

作　　者：郑永生[1] 孙强[1] 马涛[1] 戴利[1] 张君毅[1] 韩新鸣[1] 许莲姬[1] 

机构地区：[1]首都医科大学附属北京同仁医院整形外科,北京100730

出　　处：《中华整形外科杂志》2016年第1期18-21,共4页Chinese Journal of Plastic Surgery

摘　　要：目的研究应用眼轮匝肌蒂推进皮瓣修复眼睑缺损的方法选择及效果观察。方法根据眼睑皮肤缺损的部位、深度和面积，采用单蒂或双蒂眼轮匝肌蒂推进皮瓣转移至受区，修复眼睑皮肤组织缺损，供区直接缝合。皮瓣面积1．5cm×0．5cm～6．0cm×3．5cm。结果本组共120例，3例出现皮瓣远端小部分表皮坏死，经换药处理后愈合，其余皮瓣均成活良好。随访3—36个月，皮瓣无明显萎缩，色泽、质地与周围皮肤无明显差异，供区瘢痕不明显。结论眼轮匝肌蒂推进皮瓣血供良好，色泽、质地与眼睑组织十分接近，供区可直接缝合，是修复眼睑皮肤缺损的理想选择。Objective To investigate the application and therapeutic effect of advanced orbicularis oculi muscle （OOM） flap for eyelid defect. Methods Uni-pedicle or bi-pediele advanced OOM flaps were designed according to the location, depth and size of the eyelid defects. The resulted wounds in the donor sites were closed directly. The flap size ranged from 1.5 cm ×0. 5 cm - 6.0 cm × 3.5 cm. Results 120 cases were treated. All the flaps survived except for 3 flaps with epidermis necrosis at the end of flaps, which healed after dressing. The patients were followed up for 3 - 36 months with inconspicious scar in donor sites. The flap color, texture had a good match with surrounding skin. Conclusions The OOM flap is ideal for eyelid defect with reliable blood supply, satisfied color and texture. The wound at donor site can be closed directly with less morbidity.

关 键 词：眼轮匝肌 外科皮瓣 眼睑 

分 类 号：R779.6[医药卫生—眼科]