颞侧眼轮匝肌蒂岛状皮瓣的临床应用

目的 探讨用颞侧眼轮匝肌蒂岛状皮瓣修复眼睑及鼻部皮肤软组织缺损的方法及效果.方法 设计以眼轮匝肌为蒂,以同侧颞区无毛发区为供区的皮瓣,移位并修复上下睑外翻及上下睑和鼻部肿瘤或瘢痕切除后、鼻外伤组织缺损共30例.皮瓣面积为1.0 cm×1.8 cm～2.5 cm×4.5 cm.结果 30例巾除5例早期皮瓣远端出现静脉淤血经保守治疗好转外,全部皮瓣均完全成活,随访3个月至1年,较少遗留瘢痕及继发畸形,功能及外观满意.结论 以眼轮匝肌为蒂的颞侧岛状皮瓣是修复眼睑及鼻部小面积缺损的良好手术材料,具有易于转移、血供可靠、愈合快及供区隐蔽等优点.

Clinical application of temporal flap pedicled with orbicularis oculi muscle

Objective To investigate the effect of repairing soft tissue defect of eyelid and nose by using temporal flap pedicled with orbicularis oculi muscle.Methods From 2000,the temporal flaps pedicled with orbicularis oculi muscle were used in 30 cases,including cicatricial ectropion of upper and lower eyelid,tumor or scar in eyelid and nose area,nose tissue defect after injury.The maximal area of skin flap was 1.0 cm×1.8 cm～2.5 cm×4.5 cm.Results All the skin flaps were survived after operations except 5 cases which had problems with venous refluence on the distal part of skin flaps and were improved after conservative treatments.Cases were followed up from 3 months to 1 year,and there were few scars or secondary deformity formation in the donor site.The function and appearance were satisfied.Conclusions The temporal flap pedicled with orbicularis oculi muscle is a reliable material to repair small soft tissue defect of eyelid and nose with easily transferring capacity,reliable blood supply,rapid healing ability and concealed donor site.