国际眼科杂志2013，Vol.13Issue(5)：1038-1040,3.DOI:10.3980/j.issn.1672-5123.2013.05.63
转移皮瓣修复眼眶组织巨大缺损
Reconstruction of the large defect on eyelid and periorbital with transfer flap
摘要
Abstract
AIM: To observe the clinical effects of large orbital tissue defect reconstructed by different types of transfer flap, and to explore the skills of repairing the great defect of the orbital tissues.
METHODS: We retrospectively analyzed 16 cases of malignant tumor extensively damaged eyelid, periorbital skin and orbital tissues, the large defect was reconstructed by transfer flap of the normal skin around the defect after controlled or extended excision the eyelid malignancies. And then, the full-thickness free skin graft on the upper arm or abdominal was used to repair the donor area. The survival situation of those flaps for 6 months was observed and the skills and types of flap related to the survival were analyzed.
RESULTS: Totally 12 of 16 cases were removed tumor by controlled resection, 4 cases accepted extended resection; the defect of 10 cases were reconstructed with forehead axile myocutaneous flap, 4 cases with
subcutaneous pedicle flap, and 2 cases with folding flap. 12 patients accepted postoperative radiation therapy while the other 4 patients did not. Follow-up to six months after surgery, all flaps survived.
CONCLUSION: Reconstruction of huge orbital tissue defect by transfer flap is safe and effective.关键词
睑/眶周/巨大缺损/转移皮瓣/修复Key words
eyelid/ periorbital/ huge defect/ transfer flap/ reconstruct 引用本文复制引用
郑茜匀,严宇清,殷国前,何剑峰..转移皮瓣修复眼眶组织巨大缺损[J].国际眼科杂志,2013,13(5):1038-1040,3.
