眶区严重缺损的修复与重建

RECONSTRUCTION OF SEVER DEFECT OF ORBITAL AREA

报道2例眶区严重缺损患者,采用吻合血管的前臂皮瓣移植,修复眶区创面,再用以颞浅血管为蒂的岛状头皮瓣再造眉,手术获得成功,外形较好。作者认为:彻底清创,畅通洞腔引流,有良好的衬里组织,是获得手术成功的重要环节。

Two cases of sever defect of the orbital region were re-paired by vascularized forearm skin flap, and the cycbrowwere reconstureted by the island scalp flap,and the cycbrowwere reconstructecd by the island sealp flap with the superfi-cial temporal vessel as the pedielc. The operation was success-ful,and a good appearance was obtained. The author indicat-ed that the thorough debridement,patent drainage,and goodinterial supporting tissue were the key points in achieving op-eration success.