颞浅动脉岛状皮瓣联合软骨游离移植修复下睑全层缺损

Repair of full-thickness lower eyelid defect using superficial temporal artery island flap combined with auricular cartilage graft

目的:探讨应用颞浅动脉岛状皮瓣联合软骨游离移植的方法在修复下睑全层缺损中的效果。方法:对6例下眼睑全层缺损的患者,采用颞浅动脉岛状皮瓣联合软骨游离移植的方法进行修复,观察其效果。结果:皮瓣全部成活,颜色、质地与周围皮肤相近,术后均无下睑外翻。无明显瘢痕遗留,无软骨外露。无患者诉眼部不适。额部皮瓣供区无明显瘢痕增生。结论:在下眼睑全层缺损的修复中使用颞浅动脉岛状皮瓣联合软骨游离移植,对于功能和外形都有良好的改善作用,是值得推荐的方法。

Objective To investigate the effect of superficial temporal artery island flap combined with auricular cartilage graft on the repair of full-thickness lower eyelid defect. Methods 6 cases of full-thickness lower eyelid defect were corrected by superficial temporal artery island flap combined with auricular cartilage graft. The results were assessed. Results No complications were observed during follow-up period, and the results were both functionally and cosmetically acceptable. Conclusion Superficial temporal artery island flap combined with auricular cartilage graft is a good method functionally and cosmetically for the repair of full-thickness lower eyelid defect.