斧状皮瓣在治疗眼睑分裂痣中的应用

Application of a hatchet skin flap in devided nevus of eyelid treatment

目的探讨治疗眼睑分裂痣的新手术设计。方法在病变外(或内)侧,以眼外(或内)眦水平为中心,在上下眼睑区域各设计1个斧头状皮瓣,两皮瓣共蒂,两侧对称,皮瓣近病变侧“斧刃”要延伸至病变横径的约1/2,使其成为2个斧状皮瓣。掀起皮瓣,向缺损区旋转,修复创面。结果临床应用9例,最小病变者(闭眼时病变总面积)1.0cm×1.0cm,最大者2.5cm×2.0cm。皮瓣全部成活。外形满意。结论斧状皮瓣手术方法较为简单,效果可靠,色泽及质地与四周部位一致,家属及患者均较满意,是治疗分裂痣的有效方法之一。

Objective To seek for a new method in the treatment of devided nevus of the eyelid. Methods On the outside （or the inside） of the lesion, using the level of canthi externa （or inner） as the center, a hatchet skin flap was designed on the upper and lower eyelids, respectively, which had the same pedicle and proportion each other. ＂The cutting edge＂ of the skin flap nearby the side of dis eased region should be extended to the 1/2 transverse diameter of the lesion so as to make it to be a figure of hatchet. The skin flap should be anatomized from the fat level, which revolved the defect region to cover the wound surface. Results This method was performed in 9 cases of devided nevus of eyelid. The size of their defected areas （eyes being closed） ranged from 1. 0 cm × 1. 0 cm to 2.5 cm × 2.0 cm. All of the skin flaps were completely survival and achieved aesthetic contouring results. Conclusions The method of hatchet skin flap is safe and simple, with satisfactory effect, simi lar external appearance in color and texture compared with adjacent normal skin. Both the patients and their families are satisfied with the results. Therefore, it is an efficient approach in treating devided nevus of eyelid.