眼轮匝肌蒂睑颞皮瓣修复眼睑缺损

Repair of Eyelid Defect by Eyelid-temporal Flap Pedicled by Orbicularis Oculi Muscle

目的探讨眼睑缺损的修复技术及其效果。方法在睑颞侧设计以眼轮匝肌为蒂的睑颞长型皮瓣,将皮瓣向内推进或旋转180°修复睑缺损区。结果用此法修复眼睑基底细胞癌、分裂痣和睑缺损8例,所有皮瓣100%成活,色泽、形态良好。结论眼轮匝肌为蒂可携带较长的局部岛状皮瓣,旋转转移方便,血供良好,色泽协调,是修复眼睑的良好选择。

Objective To investigate the techniques for repair of skin defect of eyelid.Methods Following on the size of eyelid defect to plan a eyelid-temporal flap with ocular pedicle to repair the defect.Results The flaps were used in 8 cases of eyelid defects,including basal cell carcinoma,split nevi,and other eyelid defect.All the flaps survived completely with good color match and appearance.Conclusion The pedicle of orbicularis oculi muscle can carry a long island flap and can be easily rotated.The flaps are very useful for the repair of eyelid defect with reliable blood supply and better color match.