Atik Bekir, Tan Onder, Bekerecioglu Mehmet, Cinal Adnan, Tekes Lutfi
Department of Plastic and Reconstructive Surgery, Yuzuncu Yil University, Medical Faculty, Van, Turkey.
Dermatol Surg. 2007 Jun;33(6):709-12. doi: 10.1111/j.1524-4725.2007.33147.x.
Basal cell carcinomas (BCC) most frequently involve the lower eyelid and are treated with total excision. Various techniques have been proposed for reconstruction of the excised eyelid.
Because most flaps used in such techniques are bulky, thinner, and aesthetically more favorable, flaps have been sought recently.
Defects of the lower lid have been closed with a combination of cross-flaps and choncal cartilage prepared from the upper eyelid.
Eleven lower lids from 10 patients operated for BCC were reconstructed. All flaps survived. The duration of follow-up was 10 months, and no complications such as relapse, ectropion, or lagophthalmus occurred.
The upper eyelid flap was found to be an appropriate cover for both the skin and the conjunctiva due to its hairless and smooth structure. The outcome in patients followed up for a mean of 10 months was successful, cosmetically and functionally.
基底细胞癌（BCC）最常累及下眼睑，治疗方法为彻底切除。人们已经提出了各种用于重建切除眼睑的技术。
由于此类技术中使用的大多数皮瓣都比较臃肿，因此最近一直在寻找更薄且美学效果更佳的皮瓣。
采用上睑制备的交叉皮瓣和软骨联合修复下睑缺损。
对10例因基底细胞癌接受手术的患者的11只下眼睑进行了重建。所有皮瓣均存活。随访时间为10个月，未出现复发、睑外翻或兔眼等并发症。
由于上睑皮瓣无毛且表面光滑，因此被认为是覆盖皮肤和结膜的合适材料。对平均随访10个月的患者的随访结果在美容和功能方面均很成功。
