Matsumoto K, Nakanishi H, Urano Y, Kubo Y, Nagae H
University Hospital and the Department of Dermatology, School of Medicine, at the University of Tokushima, Japan.
Plast Reconstr Surg. 1999 May;103(6):1650-4. doi: 10.1097/00006534-199905060-00011.
The use of a cheek rotation flap is a well-known method for reconstruction of a large defect of the lower eyelid. In this technique, a separate lining tissue supporting the cheek flap is required for full-thickness reconstruction. Previously, a chondromucosal graft or conchal cartilage has been used to support this flap. Recently, we have used a homologous or autologous fascia lata as support for the cheek flap instead of rigid tissues like cartilages. A fascia lata strip is fixed with tolerable tension to the medial canthal tendon and lateral orbital rim. The inner surface of the fascia and the cheek flap is lined with a buccal mucosa graft to decrease irritation of the conjunctiva and cornea. We present here seven patients in whom this procedure was used for lower eyelid reconstruction following resection of a malignant skin tumor. Based on follow-ups of 7 to 22 months, the functional and aesthetic results have been good in all cases. This procedure may be applicable for total or subtotal reconstruction of the lower eyelid.
使用颊旋转皮瓣是一种众所周知的下睑大缺损重建方法。在该技术中，全层重建需要一块单独的支持颊瓣的衬里组织。以前，曾使用软骨黏膜移植物或耳甲软骨来支持该皮瓣。最近，我们使用同种异体或自体阔筋膜来支持颊瓣，而不是使用像软骨这样的硬质组织。一条阔筋膜条以可耐受的张力固定在内眦腱和眶外侧缘。筋膜内表面和颊瓣用颊黏膜移植物衬里，以减少对结膜和角膜的刺激。我们在此介绍7例患者，他们在切除恶性皮肤肿瘤后采用该手术进行下睑重建。基于7至22个月的随访，所有病例的功能和美学效果均良好。该手术可能适用于下睑的全层或部分重建。
