Jordan D R, Anderson R L, Holds J B
Department of Ophthalmology, University of Utah School of Medicine, Salt Lake City.
Can J Ophthalmol. 1992 Apr;27(3):130-6.
The most common reconstructive procedure in the upper and lower eyelid is direct closure of the lid margin. When additional mobilization of tissue is needed to close a defect, lateral canthotomy and cantholysis is suggested. Mobilization of tissue beyond the lateral orbital rim is occasionally required. We have found that in the lower eyelid the mobilized tissue is much better supported if the initial incision is made vertically toward the eyebrow rather than temporally, as is suggested with the semicircular flap technique. We describe modifications to this technique, which we refer to as the vertical-temporal advancement flap, and present the results in 28 consecutive patients followed for 8 months to 3 years.
上下眼睑最常见的重建手术是直接缝合睑缘。当需要额外的组织移动来闭合缺损时，建议进行外眦切开和外眦松解术。偶尔需要在眶外侧缘以外移动组织。我们发现，在下眼睑，如果初始切口垂直朝向眉毛而非按照半圆形皮瓣技术建议的朝向颞部进行，移动的组织能得到更好的支撑。我们描述了对该技术的改良方法，我们称之为垂直-颞部推进皮瓣，并展示了连续28例患者随访8个月至3年的结果。
