眶周穿支皮瓣与耳软骨及口腔黏膜共同修复全层眼睑缺损效果探讨  

Repair of Full-thickness Eyelid Defect with Periorbital Perforator Flap Combined with Ear Cartilage and Oral Mucosa

作　　者：周长磊 冷向锋[1] ZHOU Chang-lei;LENG Xiang-feng(Department of Plastic Surgery,the Affi liated Hospital of Qingdao University,Qingdao 266000,Shandong,China)

机构地区：[1]青岛大学附属医院整形外科,山东青岛266000

出　　处：《中国美容医学》2021年第11期45-47,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨眶周穿支皮瓣与耳软骨及口腔黏膜共同修复全层眼睑缺损的效果及对美观功能评分的影响。方法:选取2018年1月-2018年12月笔者医院收治的全层眼睑缺损患者92例,所有患者均进行眶周穿支皮瓣与耳软骨及口腔黏膜共同修复。分析患者修复效果、比较修复前后睑裂高度差值、睑裂长度差值、美观功能评分、抑郁、焦虑及并发症情况。结果:92例患者中,有效率为84.8%(78/92);并发症发生率为30.4%(28/92)。修复后睑裂高度差值、睑裂长度差值、抑郁、焦虑评分小于修复前,修复后美观功能评分高于修复前,差异有统计学意义(P<0.05)。结论:全层眼睑缺损修复中,眶周穿支皮瓣与耳软骨及口腔黏膜共同修复效果显著,值得临床应用。Objective To investigate the effect of periorbital perforator flap combined with ear cartilage and oral mucosa in the repair of full-thickness eyelid defect and its influence on aesthetic function score. Methods 92 patients with full-thickness eyelid defect in our hospital from January 2018 to December 2018 were selected. All patients were repaired with periorbital perforator flap, ear cartilage and oral mucosa. The repair effect was analyzed, and the height difference, length difference,aesthetic function score, depression, anxiety and complications were compared before and after repair. Results In 92 patients,the effective rate was 84.8%(78/92). The incidence of complications was 30.4%(28/92). The difference of eyelid fissure height,eyelid fissure length, depression and anxiety scores after repair were lower than those before repair, and the aesthetic function score after repair was higher than that before repair, the differences were statistically significant(P<0.05). Conclusion In the repair of full-thickness eyelid defect, the periorbital perforator flap combined with ear cartilage and oral mucosa have a significant effect, which is worthy of clinical application.

关 键 词：眶周穿支皮瓣 耳软骨 口腔黏膜 联合修复 全层眼睑缺损 美观功能评分 

分 类 号：R622[医药卫生—整形外科]