Yenidunya M Oguz, Demirseren M Erol, Ceran Candemir
Bilkent, Ankara, Turkey From the Department of Plastic, Reconstructive and Aesthetic Surgery, Ataturk Training and Research Hospital.
Plast Reconstr Surg. 2007 Jan;119(1):145-150. doi: 10.1097/01.prs.0000244845.04386.b2.
The infraorbital region is an important subunit for facial aesthetics. Improper closure of skin defects involving this region may lead to deformity in the lower lid and to ectropion. This report presents the authors' experience with 15 patients who had infraorbital skin defects reconstructed with the bilobed flap from the zygomatic and lateral cheek regions.
Most of the operations were performed under local anesthesia. Pathologic diagnoses included basal cell carcinoma, squamous cell carcinoma, melanoma, and hemangioma. Although we cannot deny that bilobed flaps used in this series were not random flaps, we would like to emphasize that when a flap with a bilobed design is chosen for reconstruction of an infraorbital defect, a superiorly based bilobed flap should be selected to avoid ectropion or any distortion in the middle face. As an adjunct procedure, a glabellar flap was used in some patients who had defects extending medially as well.
The results of the repair were satisfactory with respect to color match, texture, and functional properties.
The superiorly based bilobed flap should be always kept in mind when planning a local flap in the infraorbital region.
眶下区域是面部美学的一个重要亚单位。涉及该区域的皮肤缺损若闭合不当，可能导致下睑畸形和睑外翻。本报告介绍了作者对15例采用来自颧骨和面颊外侧区域的双叶皮瓣修复眶下皮肤缺损患者的治疗经验。
大多数手术在局部麻醉下进行。病理诊断包括基底细胞癌、鳞状细胞癌、黑色素瘤和血管瘤。虽然我们不能否认本系列中使用的双叶皮瓣并非随意皮瓣，但我们想强调，当选择双叶设计的皮瓣修复眶下缺损时，应选择蒂在上的双叶皮瓣，以避免睑外翻或中面部的任何变形。作为辅助手术，对于一些内侧也有缺损的患者，还采用了眉间皮瓣。
修复结果在颜色匹配、质地和功能特性方面令人满意。
在计划眶下区域的局部皮瓣时，应始终牢记蒂在上的双叶皮瓣。
