Schaudig U, Grundmann T, Ussmüller J
Augenklinik und Poliklinik, Universitätsklinikum Eppendorf, Hamburg.
Ophthalmologe. 2004 May;101(5):461-5. doi: 10.1007/s00347-004-1005-5.
Tumor resection in the medial canthal area may result in deep defects with involvement of the ethmoidal bone and destruction of the lacrimal ducts. While shallow defects with little involvement of bone can be covered with the classic glabellar flap, deep defects require larger fasciocutaneous flaps from the forehead that can also be used for the reconstruction of the involved medial parts of the eyelids. The preferred techniques of the median or paramedian transposition flaps and a modified paramedian fascial flap for reconstruction of the medial orbital wall and support of the orbit are described.
内眦区域的肿瘤切除可能导致涉及筛骨的深部缺损以及泪道破坏。虽然骨受累较少的浅部缺损可用经典的眉间皮瓣覆盖，但深部缺损需要取自前额的更大的筋膜皮瓣，这些皮瓣也可用于重建受累的眼睑内侧部分。本文描述了用于重建眶内侧壁和支撑眼眶的正中或旁正中移位皮瓣以及改良旁正中筋膜皮瓣的首选技术。
