Hayashi Ayato, Komuro Yuzo, Koga Yukiko, Myckatyn Terence M, Yanai Akira
Department of Plastic and Reconstructive Surgery, Juntendo Shizuoka Hospital, 1129 Nagaoka, Izunokuni City, Shizuoka, Japan.
J Plast Reconstr Aesthet Surg. 2007;60(6):655-8. doi: 10.1016/j.bjps.2006.11.017. Epub 2007 Jan 24.
The technique chosen to reconstruct anterior lamellar defects of the upper eyelid requires careful consideration. We modified pre-existing techniques used to reconstruct anterior lamellar defects after tumour resection and have called this procedure a hemi-orbicularis oculi switch flap.
This musculocutaneous flap is elevated with underlying orbicularis and its base abuts the anterior lamellar defect. The flap, which is half the height of the defect, is elevated and inset to cover the defect. Then, taking into consideration the extensibility of upper eyelid skin, the remainder of the defect and the donor site are closed directly.
Five patients with basal cell carcinoma, haemangioma, and xanthoma of the upper eyelid were treated by this method. All flaps survived and complications were minimal. Aesthetically and functionally good results were obtained by this method.
We have developed a surgical method for the reconstruction of anterior lamellar defects of the upper eyelid. The proposed method is technically simple and safe and provides consistent results for a potentially wide variety of upper eyelid tumours.
选择用于重建上睑前层缺损的技术需要仔细考量。我们改良了用于肿瘤切除后重建前层缺损的现有技术，并将此手术称为半眼轮匝肌转换皮瓣术。
该肌皮瓣连带其下方的眼轮匝肌一并掀起，其蒂部邻接上睑前层缺损处。将高度为缺损一半的皮瓣掀起并嵌入以覆盖缺损。然后，考虑到上睑皮肤的延展性，直接闭合缺损的其余部分及供区。
5例患有上睑基底细胞癌、血管瘤及黄色瘤的患者接受了该方法治疗。所有皮瓣均存活，并发症极少。该方法在美学和功能方面均取得了良好效果。
我们研发了一种用于重建上睑前层缺损的手术方法。所提出的方法在技术上简单且安全，对于多种潜在的上睑肿瘤均能提供一致的效果。
