瘢痕皮瓣修复上睑皮肤瘢痕性缺损

Scar flap for reconstruction of upper eyelid defects

目的:探讨局部瘢痕皮瓣修复上睑皮肤瘢痕性缺损的效果。方法:烧伤、感染后的瘢痕疙瘩所致上睑皮肤瘢痕性缺损10例;采用保留瘢痕皮肤的瘢痕内剥除塑形手术方法,同时松解复位外翻的眼睑,术后曲安奈德瘢痕内注射2～5次。结果:除1例皮瓣坏死改善不明显外,其余病例瘢痕疙瘩和睑外翻完全矫正。随访3～12月,无复发,重睑形态良好。结论:瘢痕皮瓣是修复上睑皮肤瘢痕性缺损的良好办法。

Objective To investigate the results of regional scar flap for reconstruction of upper eyelid defects following scar. Methods There were ten cases of upper eyelid defects following empyrosis or infection. The upper eyelid defects were reconstructed for scar flap following divesting the cicatricial tissue underneath.The everted eyelids were reposited. After operation, triamcinolone acetonide were injected into the upper eyelid scars for 2 times to 5 times. Results Following 3 to 12 months follow up, one patient had no obvious amendment.The rest patients＇s keloid and ectropion had been rectified well without recurrence. Conclusion The scar flap for reconstruction of upper eyelid defects had good effects.