摘要
目的 探讨以外眦眼轮匝肌为蒂的颞颧区扩张皮瓣修复眶下区皮肤缺损的方法,并对该方法进行评价. 方法 对16例眶下区皮肤缺损患者,采用外眦眼轮匝肌为蒂的颞颧区扩张皮瓣进行修复.手术共分两期,一期手术在颞颧区埋置扩张器,二期手术设计以外眦眼轮匝肌为蒂的颞颧区扩张皮瓣,转移修复眶下区皮肤缺损. 结果 转移的颞颧区扩张皮瓣成活良好,11例患者获3个月至3年随访,颞颧区扩张皮瓣转移后未发生挛缩,切口瘢痕不明显,皮肤颜色、质地与眶周皮肤一致. 结论 以外眦眼轮匝肌为蒂的颞颧区扩张皮瓣能够修复较大面积眶下区皮肤缺损,设计灵活,皮瓣转移后对面部外形影响小.
Objective To investigate the therapeutic effect of temporal-zygomatic expanded flaps pedicled with orbicularis oculi muscle（OOM）for sub-orbital defects. Methods 16 cases with sub-orbital defects were treated.The expanders were implanted at temporal-zygomatic region at the first stage.At the second stage,temporal-zygomatic expanded flaps pedicled with OOM were designed and transferred to repair the suborbital defects. Results All the expanded flaps survived completely.11 cases were followed up for 3 months to 3 years.The flaps had no contracture with a good match of color and texture with surrounding tissue.The scar was also inconspicious. Conclusions The temporal-zygomatic expanded flaps can be used for large size defects below orbit.It is very flexible,leaving minimal morbidity for the whole face.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2010年第6期406-408,共3页
Chinese Journal of Plastic Surgery
关键词
扩张皮瓣
岛状皮瓣
眼轮匝肌
Expanded skin flap
Island skin flap
Orbicularis oculi muscle
