局部皮瓣修复外眦皮肤缺损的疗效探讨

The Effect of Local Skin Flaps in Repairing Skin Defect of Lateral Canthus

目的:探讨应用局部皮瓣修复外眦缺损的方法及效果。方法:使用局部皮瓣修复外眦部皮肤缺损10例,创面面积约l.2cm×1.2cm^2.6cm×3.3cm。根据创面位置及大小,分别选择推进皮瓣、菱形皮瓣、Burow’s楔形皮瓣、皮下蒂风筝皮瓣方法进行修复。结果:10例患者皮瓣均完全成活,术后随访6个月~3年,其外观形态良好,效果满意,肿瘤无复发。结论:修复外眦部皮肤缺损时,选取合适的局部皮瓣,并注意保持和恢复外眦美容单位的完整性,可取得良好的形态与功能效果。

Objective To explore the method and effect of reconstructing external canthal defects.Methods 10 cases of external canthal defects were treated with local skin flap.The defect area was varied from 1.2cm×1.2cm to 2.6cm×3.3cm.According to the size and location of the defects,different local flaps such as advanced flaps,rhomboid skin flap,Burow’s flap,subcutaneous“kite”flap were selected and designed to repair the skin defects.Results After 6 months to 3 years follow up,all the flaps survived with satisfactory esthetic results postoperatively,and no tumor recurrence occurred.Conclusion In the repair of external canthus skin defects.to maintain and restore the cosmetic unit integrity of external canthus by using suitable local flaps would lead to a satisfying restoration of function and appearance.