眼轮匝肌肌皮瓣修复瘢痕性睑外翻

Repairing of cicatricial ectropion with orbicularis oculi myocutaneous flap

目的 探索符合美学要求的睑外翻修复方法。方法 用上睑或下睑的眼轮匝肌肌皮瓣 ,行上睑或下睑睑外翻的相互修复 ,并兼顾重睑成形和睑袋整复术。结果 自 1994年 1月至 2 0 0 1年 1月共行睑外翻修复 2 4例 ,随访 19例 ,时间 3周至 2年 ,除 1例肌皮瓣曾出现部分坏死外 ,其余均获满意效果。结论 眼轮匝肌肌皮瓣因血运丰富 ,其长宽比可达 6∶1,可行较大幅度的修剪 ,且移转灵活 ,供区切口隐蔽。术后眼睑不仅得到功能性矫正 ,而且具有良好的美学效果。

Objective To investigate the state of the art technique of ectropion correction. Methods Orbicularis oculi myocutaneous flap on both upper and lower eyelids was used to correct ectropion. Results From Feb.1994～June 2001, the authors performed correction of ectropion for 24 patients. Among them 19 patients were followed up, and the period of follow-up ranged from 3 weeks to 2 years. All of the followed patients received good results except one who had partial necrosis of the orbicularis oculi myocutaneous flap. Conclusion Orbicularis oculi myocutaneous flap has a rich blood circulation. The ratio of its length and width can be made to be 6∶1, and its contour can be trimmed as one's will. In addition, the flap can be transferred flexibly, and the incision in donor site is hidden in nature wrinkle. With this flap, the ectropion can be repaired as an aesthetic unit in one stage.