上睑黄色瘤切除眼轮匝肌蒂皮瓣移植联合眼睑松弛症矫正术

Upper eyelid xanthoma palpebrarum resection and orbicularis oculi muscle pedicled skin flaps transplantation combined with blepharochalasis correction

目的 探讨上睑黄色瘤切除术后皮肤缺损行带眼轮匝肌蒂旋转皮瓣移植联合眼睑松弛症矫正术的临床效果.

Objective To investigate the clinical efficacy of orbicularis oculi muscle pedicled skin flaps transplantation combined with blepharochalasis correction for the treatment of skin defect after upper eyelid xanthoma resection.Methods Sixty eyes of 30 cases with palpebral xanthoma（diameter〉10 mm）and blepharochalasis of the upper eyelid were collected.The aneuros skin of upper eyelid was made an orbicularis oculi muscle pedicled rotary flap.And the flap was used to repair the wound of palpebral xanthoma resection.Finally,all patients underwent blepharochalasis and double eyelid plasty,the follow-up time was 12-24 months.Results All flaps were survived with the normal appearance and the incisions were primary healing.At the last follow-up,all patients were satisfied with surgery.No palpebral xanthoma recurred.Conclusion The orbicularis oculi muscle pedicled rotary flap made with aneuros skin of upper eyelid is a reliable option for the treatment of palpebral xanthoma.This method could obtain satisfied results both in treatment and cosmetic.