Ueda K, Oba S, Okada M, Hara M, Zen N
Department of Plastic and Reconstructive Surgery, Osaka Medical College, 2-7 Daigaku-cho, Takatsuki City, Osaka 569-8686, Japan.
J Plast Reconstr Aesthet Surg. 2007;60(3):256-9. doi: 10.1016/j.bjps.2006.03.058. Epub 2006 Jun 6.
We performed reconstruction with a composite radial forearm palmaris longus tendon flap in patients with wide defects of upper or lower eyelids. In one upper eyelid reconstruction, a palmaris longus tendon was fixed to the frontal muscle to make it possible to open the eye. In the lower eyelid reconstruction, the tendon was fixed to both the medial palpebral ligament and the lateral orbital rim to support the flap. In wide upper and lower eyelid reconstruction with a forearm flap, it is convenient to utilise the palmaris longus tendon to support the flap.
我们对上下眼睑广泛缺损的患者采用桡侧前臂掌长肌腱复合皮瓣进行重建。在一次上睑重建中，将掌长肌腱固定于额肌以实现睁眼。在下睑重建中，将肌腱固定于睑内侧韧带和眶外侧缘以支撑皮瓣。在前臂皮瓣进行上下眼睑广泛重建时，利用掌长肌腱支撑皮瓣很方便。
