上臂皮管修复鼻缺损及下睑缺损的临床研究  

Clinical study on upper arm tube flap in the repair of nose and lower eyelid defect

作　　者：徐奕昊 范飞 尤建军 王欢 郑若冰 张旭龙 田乐 XU Yi-hao;FAN Fei;YOU Jian-jun;WANG Huan;ZHENG Ruo-bing;ZHANG Xu-long;TIAN Le(Center of Rhinoplasty and Nasal Re-construction,Plastic Surgery Hospital of Chinese Academy of Medical Sciences&Peking Union Mecdical College,Beijing 100144,China)

机构地区：[1]中国医学科学院北京协和医学院整形外科医院鼻整形与再造中心,北京100144

出　　处：《中国美容整形外科杂志》2020年第5期300-302,共3页Chinese Journal of Aesthetic and Plastic Surgery

基　　金：中国医学科学院医学与健康科技创新工程2017年资助项目(2017-I2M-1-007)。

摘　　要：目的讨论通过上臂皮管同时修复全鼻缺损及下睑缺损的临床效果。方法对12例鼻缺损合并双下睑缺损的患者,通过上臂皮管皮瓣带蒂转移修复鼻缺损的同时修复双侧下睑缺损。一期手术行上臂皮管成形,二、三期手术皮管带蒂转移至鼻部,四~六期手术在皮管断蒂的同时应用皮管修复双侧下睑缺损和鼻背缺损。结果本组12例患者鼻缺损及双下睑缺损均修复满意,矫正了下睑外翻,外鼻通过后期的皮瓣修薄形态良好。结论在面部皮肤大面积受损的前提下,上臂皮管皮瓣可以有效地作为皮瓣来源供区同时修复鼻部、下睑等重要器官缺损,经长期观察效果良好。Objective To discuss the clinical efficacy of upper arm tube flap in the repair of whole nose and lower eyelid defect.Methods Twelve patients with nose and bilateral lower eyelid defect were repaired by upper arm flap with pedicle transfer. The upper arm tube flap was formed in the first stage, skin tube pedicle was transferred to the nose in the second stage, skin tube pedicle was broken and bilateral lower eyelid and nose defect was repaired in the third stage. Results All nose and bilateral lower eyelid defects in 12 patients were repaired satisfactorily. The lower eyelid ectropion was corrected. The appearance of nose was good after thinning of flap in the later stage. Conclusion Under the premise of extensive facial skin damage, the upper arm tube flap could be used as effective origin of flap and donor area in the repair of nose, lower eyelid and other important organs defects. The efficacy was good after long-term observation.

关 键 词：上臂皮管皮瓣 鼻缺损 下睑缺损 

分 类 号：R779.6[医药卫生—眼科] R765.9[医药卫生—临床医学]