大面积横向推进及眼周隐蔽切口眦定位手术修复眶周皮肤缺损

Periorbital Elevation and Positioning with Secret Incisions for the Repair of Periorbital Cutaneous Defects

目的：探讨应用大面积横向推进及眼周隐蔽切口眦定位手术修复眶周皮肤缺损的临床效果。方法自2014年，11例单侧眶周皮肤缺损的患者应用此法修复，缺损水平宽度为0.8～2.9 cm。沿睑缘及缺损缘作切口，通过广泛的皮下分离，水平推进，以分离的皮肤覆盖缺损区域，从而达到修复的目的。结果平均随访8个月，所有眼睑较术前均获得明显改善。1例皮瓣尖角微小溃疡，1例睑裂不对称。结论应用大面积横向推进及眼周隐蔽切口眦定位手术修复眶周皮肤缺损，切口隐蔽，可一期修复较大面积眼睑缺损，是眶周皮肤缺损较为理想的修复方法。

Objective To explore the clinical outcomes of periorbital elevation and positioning with secret incisions for the repair of periorbital cutaneous defects. Methods From 2014, 11 palpebral defects were repaired with this technique. The width of defects ranged from 0.8-2.9 cm. With incisions along the palpebral margins and unilateral vertical edge of the lesions, the defects were repaired by periorbital elevation and positioning. Results All patients received significant improvements except 1 case with small necrosis and 1 case with an asymmetric palpebral fissure with a mean follow-up of 8 months. Conclusion Application of periorbital elevation and positioning with secret incisions could get satisfactory outcome and one-stage repair for periorbital cutaneous defects. And it＇s an ideal technique in periorbital region.