应用颞浅动脉额支反流轴型皮瓣修复上睑缺损  

Application of the frontal branch of the superficial temporal artery reverse-flow axial flap in repair of soft tissue defect of the upper eyelid

作　　者：魏述强 许艳静 杨孝良 姜茂华 

机构地区：[1]青岛市中心医院烧伤整形科,山东青岛266042

出　　处：《中国美容整形外科杂志》2016年第9期529-531,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的 探讨应用跨血管区反流轴型额颞部皮瓣修复上睑软组织缺损的方法及效果.方法 根据上睑软组织缺损的大小和位置设计跨血管区反流额颞部皮瓣,最大为3.5 cm× 12.0 cm,其皮瓣长度应大于皮瓣蒂部至缺损区最远端1.5 cm;对累及睑板的缺损采用游离硬腭黏膜修复,再行皮瓣修复同侧上睑软组织缺损.结果 本组共1 1例患者,均行跨血管区反流额颞部皮瓣修复,术后皮瓣完全成活,供区均直接缝合;随访6～12个月,无上睑缺损及外翻发生,效果满意.结论 采用颞浅动脉额支为蒂的跨血管区反流轴型皮瓣修复上睑软组织缺损,方法可行,效果良好.Objective To investigate the methods and effects of frontotemporal area reverse-flow axial flap on repair of soft tissue defect of upper eyelid.Methods The frontotemporal region reverse-flow axial flap was designed according to the size and site of the defect,the maximal area of the skin flap was 3.5 cm × 12.0 cm.The length of the flap was 1.5 cm longer than the distance between the pedicle and the defect.In cases in which the defect involved the tarsus of the upper eyelid,a hard palate mucosal graft was sutured to with the remaining edge of the tarsus,then the flap was used to repair the soft tissue defect of the same side of the upper eyelid.Results A series of 11 patients were treated by this method.All the skin flaps survived after surgery.Ten cases were followed up for 6 to 12 months.All were satisfied with the results.No secondary defects or ectropion occurred after surgery.Conclusion Repair of the soft tissue defect of the upper eyelid using the frontotemporal region reverse-flow axial flap pedicled with the frontal branch of the superficial temporal artery is a satisfactory therapeutic method.

关 键 词：额颞部 轴型皮瓣 上睑缺损 修复 

分 类 号：R622[医药卫生—整形外科]