上睑成形术联合眼轮匝肌蒂皮瓣逆转修复睑黄瘤后内眦缺损的效果  

Effects of repair for defect after xanthelasma removal with a orbicularis oculi myocutaneous flap by converse shift grafting

作　　者：南华 赵阳[2] 栾海龙 Nan Hua;Zhao Yang;Luan Hailong(Department of Medical Cosmetology,the Fifth Affiliated Hospital of Guangzhou Medical University,Guangzhou 510700,China;Center for Medical Aesthetics,the First Affiliated Hospital of Xinjiang Medical University,Wulumuqi 830054,China)

机构地区：[1]广州医科大学附属第五医院医疗美容科,广州510700 [2]新疆医科大学第一附属医院医学美学中心,乌鲁木齐830054

出　　处：《中华医学美学美容杂志》2023年第1期33-35,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的:探讨上睑成形术联合眼轮匝肌蒂皮瓣逆行转移修复睑黄瘤切除后内眦缺损的效果。方法:2020年7月至2022年8月,广州医科大学附属第五医院医疗美容科就诊的睑黄瘤女性患者13例(24眼),年龄42~61岁,平均49岁。根据患者上睑皮肤松弛情况及睑黄瘤宽度个性去除肌皮瓣用于修复内眦缺损。睑黄瘤切除后,逆行转移眼轮匝肌蒂皮瓣修复,最后行上睑成形术。结果:13例(24眼)皮瓣均成活,术后3~12个月随访,皮瓣色泽、质地与眼睑皮肤一致,切口瘢痕隐蔽,双侧上睑形态自然对称,均未见并发症。结论:上睑成形术联合眼轮匝肌蒂皮瓣逆行转移修复的方法为治疗内眦部睑黄瘤切除后缺损修复提供了更多的选择,完整切除病灶同时改善上睑形态,可避免术后变形、瘢痕明显等并发症。Objective To explore the method and effect of blepharoplasty of upper eyelid combined with orbicularis oculi myocutaneous flap in repair of the canthus defect after excision of xanthelasma.Methods According to the relaxation of the upper eyelid skin and the width of the xanthoma to be removed,the double eyelid line and the peeling line were designed individually,and the myocutaneous flap was removed to repair the inner canthus defect.After resection of the xanthelasma,the orbicularis oculi myocutaneous flap was transferred retrogradely to repair the defect,and then the upper eyelid plasty was performed.Results During the follow-up of 3-12 months after operation,13 cases(24 eyes)of the transferred flaps in the inner canthus survived well,the incision scars were hidden,and the double eyelids on both sides were naturally symmetrical.Conclusions The method of upper eyelid plasty combined with the reverse transfer of orbicularis oculi myocutaneous flap provides more options for the treatment of defects after resection of xanthoma of the inner canthus.The flap survives well,improves the shape of the upper eyelid while completely removing the focus,and avoids complications such as postoperative deformation and obvious scars.

关 键 词：睑黄瘤 修复外科手术 皮瓣 眼轮匝肌蒂皮瓣 上睑成形术 

分 类 号：R751.05[医药卫生—皮肤病学与性病学]