Bertelmann E, Rieck P, Hartmann C
Augenklinik der Charité-Universitätsmedizin, Campus Virchow Klinikum, Berlin.
Ophthalmologe. 2006 Feb;103(2):120-3. doi: 10.1007/s00347-005-1253-z.
This report presents a procedure as an alternative to free skin grafts for reconstruction of rhomboid skin defects in the lid region.
Ten consecutively treated patients were included who had skin defects after resection of eyelid tumors such as basaliomas. The skin defects were rhomboid and had the same horizontal and vertical diameter (medium 1.5 cm) and were therefore too large for a horizontal advancement flap. The defects were closed by preparation of four triangular skin flaps that were sutured crosswise into the defect.
The procedure was adequate for reconstruction of the defect in all ten cases. There were no lid malpositions and the cosmetic results were favorable in all cases. The medium operation time was significantly shorter in comparison to free skin grafts.
Application of free skin grafts is a standard procedure for reconstruction of anterior lamellar lid defects. Triangular transposition flaps can be a timesaving alternative with good cosmetic results.
本报告介绍一种用于修复眼睑区域菱形皮肤缺损的手术方法，作为游离皮片移植的替代方案。
纳入连续接受治疗的10例患者，这些患者在切除眼睑肿瘤（如基底细胞瘤）后出现皮肤缺损。皮肤缺损呈菱形，水平和垂直直径相同（平均1.5厘米），因此对于水平推进皮瓣来说太大。通过制备四个三角形皮瓣并交叉缝合到缺损处来封闭缺损。
该手术方法在所有10例病例中均足以修复缺损。没有出现眼睑错位，所有病例的美容效果均良好。与游离皮片移植相比，平均手术时间明显更短。
游离皮片移植是修复眼睑前层缺损的标准手术方法。三角形转位皮瓣可以是一种节省时间的替代方法，且美容效果良好。
