颞区预构复合组织瓣行全眼睑再造  

Temporal Composite Tissue Prefabricated Flap in Total Eyelid Reconstruction

作　　者：刘媛媛 刘春庆 李养群 周传德 唐勇 陈文 赵穆欣 杨喆 许砾思 冯隽 LIU Yuanyuan;LIU Chunqing;LI Yangqun;ZHOU Chuande;TANG Yong;CHEN Wen;ZHAO Muxin;YANG Zhe;XU Lisi;FENG Jun(Capital Medical University Daxing Teaching Hospital,Beijing 102600,China;Plastic Surgery Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100144,China)

机构地区：[1]首都医科大学大兴教学医院,北京市102600 [2]中国医学科学院整形外科医院,北京市100144

出　　处：《组织工程与重建外科杂志》2020年第4期288-290,共3页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：目的探索应用颞区预构复合组织瓣修复全眼睑及周围组织缺损的效果。方法2010年6月至2011年11月共3例外伤致全眼睑及周围组织缺损的患者,均应用颞区预构复合组织瓣修复。一期手术于颞区埋置扩张器形成扩张皮瓣;二期手术于扩张皮瓣下植入口腔黏膜及耳软骨形成预构的复合组织瓣;三期手术行以眼轮匝肌为蒂的复合组织瓣全眼睑再造术。结果本组3例患者在3次手术后均达到了治疗目的,术后外观得到了较大改善。术后随访4个月,再造眼睑的黏膜及软骨成活良好,外观形态接近正常侧。结论应用颞区预构复合组织瓣行全眼睑再造安全有效,再造眼睑更接近正常眼睑结构,同时解决了全眼睑及周围组织缺损供区组织量不足的情况,为全眼睑再造开辟了新的途径。Objective To explore the effect of temporal composite tissue prefabricated flap in repairing total eyelid and surrounding tissue defects.Methods From Jun.2010 to Nov.2011,three patients with total eyelid and surrounding tissue defect caused by trauma were treated with temporal composite tissue prefabricated flap.In the first stage,the expanded flap was formed by embedding expander in the temporal region;In the second stage,the composite flap formed by oral mucosa and ear cartilage was implanted under the expanded flap;The compound tissue flap pedicled with orbicularis oculi muscle was reconstructed in the third stage.Results All the 3 patients achieved the satisfactory result after 3 stages of surgery,and the postoperative appearance was improved greatly.After 4 months of clinical follow-up,the mucosa and cartilage of reconstructed eyelid survived well,and the appearance was close to the normal side.Conclusion The application of temporal composite tissue prefabricated flap for total eyelid reconstruction is safe and effective,the reconstructed eyelid is closer to the normal eyelid structure,and the shortage of tissue in the donor area of total eyelid and surrounding tissue defect is solved,which opens a new way for total eyelid reconstruction.

关 键 词：预构复合组织瓣 眼轮匝肌 全眼睑缺损 

分 类 号：R779.64[医药卫生—眼科]