重睑成形术同时行眼轮匝肌肌皮瓣转移治疗轻度瘢痕性上睑外翻

Repairing of upper cicatricial ectropion with orbicularis oculi myocutaneous flap in construction of double eyelid

目的探讨轻度瘢痕性上睑外翻的患者，如何在行同侧重睑成形术时，应用上睑眼轮匝肌肌皮瓣旋转后进行修复。方法行重睑成形术时，利用可去除的松弛皮肤及其深面的眼轮匝肌制成肌皮瓣，修复外翻松解复位后遗留的缺损创面。结果2003年2月至2005年12月，共修复轻度瘢痕性上睑外翻13例13只眼，除1例因蒂部略显臃肿，6个月后再次修整外，其余皮瓣外观平整自然，随访2周至6个月，效果满意。结论将重睑成形术中可去除的松弛皮肤及深面的眼轮匝肌重新利用，制成的眼轮匝肌肌皮瓣血运丰富，长宽比例最大可达6：1，且转移灵活，供区切口隐蔽在重睑皱襞形成线上，无供区瘢痕。

Objective To investigate a method for upper cicatricial ectropion correction using a rotated orbicularis oeuli myocutaneous flap in the unsatisfied pre-operative construction of double eyelid. Methods In construction of double eyelid, orbicularis oculi myocutaneous flap made by relaxed skin and orbicularis oculi was used to correct ectropion. Results From Feb. 2003 to Decem. 2005, the authors performed correction of eetropion for 13 patients. All of these patients were followed up, and the period ranged from 2 weeks to 6 months. All of these patients received good results except one. It was corrected again for the flattening of the pediele 6 months later. Conclusions Orbieularis oeuli myoeutaneous flap has a rich blood supply. The ratio of its length and width can be made to 6 ： 1, and it can be transfered flexibly. In addition, the incision of the donor site is hidden in fold of double eyelid.