颞浅动脉岛状皮瓣联合软骨游离移植修复下睑全层缺损.pdfVIP

中国美容医学2008年 l1月第 17卷第 1l期 ChineseJournalofAestheticMedicine．Nov．2008．Vo1．17．No．11 1595 · 论著 · 颞浅动脉岛状皮瓣联合软骨游离移植修复下睑全层缺损 张致媛，赵延勇，庄洪兴，蒋海越，杨庆华，王艳梅 (北京协和医学院中国医学科学院整形外科医院外耳整形再造一科 北京 100144) [摘要]目的：探讨应用颞浅动脉岛状皮瓣联合软骨游离移植的方法在修复下睑全层缺损中的效果。方法：对 6例下眼睑全层缺 损的患者，采用颞浅动脉岛状皮瓣联合软骨游离移植的方法进行修复，观察其效果。结果：皮瓣全部成活，颜色、质地与周围皮 肤相近，术后均无下睑外翻。无明显瘢痕遗留，无软骨外露。无患者诉眼部不适。额部皮瓣供区无明显瘢痕增生。结论：在下眼 睑全层缺损的修复中使用颞浅动脉岛状皮瓣联合软骨游离移植，对于功能和外形都有良好的改善作用，是值得推荐的方法。 [关键词]下睑全层缺损；颞浅动脉岛状皮瓣；软骨游离移植 [中图分类号]R622 R777．1 [文献标识码]A [文章编号]1008—6455(2008)1卜1595—03 Repairoffull-thicknesslowereyeliddefectusingsuperficialtemporalareryislandflap combinedwithauricularcartilagegraft ZHANGZhi-yuan ZHAO Yan—yong|ZHUANG Hong-xingfJIANG Hai-yuelYANG Qing-hua WANGYan-mei (TheFirstDepartmentoftheEarReconstruction，PlasticSurgeryHospital，ChineseAcademyofMedicalSciencesand PekingUnionMedicalCollege，Beijing100144，China) Abstract：ObjectiveToinvestigatetheeffectofsuperficialtemporalarteryislandflapcombinedwithauricularcartilage graftontherepairoffuII—thickness Iowereyelid defect．Methods 6 casesoffull—thickness lowereyelid defectwere correctedbysuperficialtemporalarteryislandflapcombinedwithauricularcartilagegraft．Theresultswereassessed． Results No complications were observed during follow -up period，and the results were both functionally and cosmeticallyacceptable Conclusion Superficialtemporalartery islandflapcombinedwithauricularcartilagegraftisa goodmethodfunctionallyand cosmeticaIlyfortherepairoffull—thicknesslowereyeliddefect． Keywords：full—thicknesslowereyeliddefect；superficialtemporalarteryislandflap；auricularcartilagegraft 眼睑是眼球的保护屏障，具有重要的解剖及生理功能。 勒超声血流仪向前上方测定并标记出颞浅动脉及其额支的 眼睑皮肤、肌肉、睑板和睑结膜的全层缺损，称为眼睑缺损。 走行方向，根据缺损的大小以及距颞浅动脉起始处的距离初 眼睑缺损，轻者结膜反复发生炎症、溢泪，重者角膜裸露，如 步确定额部