摘要
目的评价用外侧眶骨膜瓣代替睑板行外侧眼睑重建术的手术效果。方法回顾性分析13例外眦部眼睑肿瘤切除术后患者的临床资料，其中眼睑基底细胞癌7例，睑板腺癌4例，鳞状细胞癌2例，切除肿瘤同时一期用外侧眶骨膜代替睑板，用颧部或颊部的旋转皮瓣或滑行皮瓣修复缺损皮肤行眼睑重建术。结果术后随访8～56个月，未发现肿瘤复发，所有患者眼睑形态自然，双侧睑裂基本对称，眼睑活动好，无眼睑切迹及内翻倒睫和外翻情况出现。患者对手术疗效表示满意。结论用外侧眶骨膜瓣代替睑板行眼睑重建术对于外侧眼睑缺损在1／3—2／3范围内且肿瘤未影响到眶骨的患者，尤其对于同时影响上下睑的患者的眼睑修复是一种较好的方法。
Objective To evaluate the results of eyelid defect reconstruction using periosteal stripe of the lateral orbital rim . Methods This was a retrospective analysis of eyelid defects reconstruction in 13 patients with lateral cantus eyelid defect following the excision of the eyelid tumors including： seven patients with basal cell carcinoma, four patients with sebaceous cell carcinoma and two patients with squamous cell carcinoma. All eyelid defects were reconstructed with zygomal periosteal stripe as the posterior layer of the eyelid. The anterior layer of the eyelid was reconstructed by myocutaneous flap. Results After follow-up at 8 to 56 months, all reconstructed eyelids showed a normal appearance with good function and without deformities, e.g. eyelid notch, entropion and cctropion. There was no relapse of the eyelid tumor. All patients were satisfied with the results. Conclusions This method is good for repairing lateral eyelid defect involving 1/3 to 2/3 eyelids and without the tumor invasion of lateral orbit rim. This procedure obtains satisfactory results, especially for simultaneous reconstruction of upper and lower eyelids defects.
出处
《中华眼科杂志》
CAS
CSCD
北大核心
2009年第2期127-130,共4页
Chinese Journal of Ophthalmology
关键词
眼睑
骨膜
修复外科手术
外科皮瓣
Eyelids
Periosteum
Reconstructive surgical procedures
Surgical flaps
