颞部岛状皮瓣联合硬腭黏膜在眼睑恶性肿瘤术后创面修复中的临床应用  

Clinical application of temporal island flap combined with hard palate mucosa in postoperative repair of eyelid malignant tumors

作　　者：魏旺 卢建锋 范娟 司慧群 赵康献 WEI Wang;LU Jianfeng;FAN Juan(Department of Plastic Surgery,Changxing County People's Hospital,Changxing 313100,China)

机构地区：[1]长兴县人民医院整形外科,浙江长兴313100

出　　处：《全科医学临床与教育》2024年第11期978-980,F0002,共4页Clinical Education of General Practice

摘　　要：目的探讨颞部岛状皮瓣联合硬腭黏膜在眼睑恶性肿瘤术后创面修复中的临床效果。方法回顾性分析5例眼睑恶性肿瘤患者的临床资料,采用Mohs法切除恶性肿瘤,同时切除病变的结膜,并在术中进行快速冰冻病理检查。术中先取自体硬腭黏膜重建眼睑后层缺损,再根据前层缺损范围取颞部岛状皮瓣进行转移修复。术后随访观察并评估患者眼睑外观形态、功能恢复、肿瘤有无复发以及患者的满意度情况。结果5例患者的后层硬腭黏膜植片活性良好,前层颞部岛状皮瓣全部成活,创面均一期愈合,修复后的眼睑形态良好、瘢痕浅淡、无睑外翻,随访2年内未见肿瘤复发,患者均对修复外形满意。结论颞部岛状皮瓣联合硬腭黏膜对于眼睑恶性肿瘤术后缺损创面是一种有效的修复方法,修复后的眼睑外观形态良好、美容效果突出、功能恢复可,患者满意度较高。Objective To investigate the clinical effect of temporal island flap combined with hard palate mucosa in postoperative repair of eyelid malignant tumors.Methods The clinical data of 5 patients with eyelid malignant tumor were retrospectively analyzed.Mohs method was used to resect the malignant tumor and the diseased conjunctiva at the same time,and rapid freezing pathological examination was performed during the operation.During the operation,the pos⁃terior eyelid defect was reconstructed from the hard palatal mucosa of the body,and then the temporal island flap was transferred to repair the anterior eyelid defect.The appearance of the eyelid,functional recovery,tumor recurrence and pa⁃tient satisfaction were evaluated during postoperative follow-up.Results The graft activity of posterior hard palatal mu⁃cosa was good in 5 patients,all anterior temporal island flaps survived,wounds healed in one stage,the repaired eyelids were in good shape,scars were shallow,and no ectropion was observed.No tumor recurrence was observed in 2 years of follow-up,and all patients were satisfied with the repaired appearance.Conclusion Temporal island flap combined with hard palate mucosa is an effective method to repair the wound defect after surgery for malignant eyelid tumor.The re⁃paired eyelid has good appearance,outstanding cosmetic effect,easy functional recovery and high patient satisfaction.

关 键 词：颞部岛状皮瓣 硬腭黏膜 恶性肿瘤 眼睑缺损 

分 类 号：R739.71[医药卫生—肿瘤]