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基于眼轮匝肌的皮下蒂皮瓣修复整个上睑区域。

Reconstruction of the entire upper eyelid area with a subcutaneous pedicle flap based on the orbicularis oculi muscle.

作者信息

Yoshimura Y, Nakajima T, Yoneda K

机构信息

Department of Plastic and Reconstructive Surgery, Fujita Health University School of Medicine, Toyoake, Japan.

出版信息

Plast Reconstr Surg. 1991 Jul;88(1):136-9. doi: 10.1097/00006534-199107000-00024.

DOI:10.1097/00006534-199107000-00024
PMID:2052643
Abstract

Lagophthalmos caused by trauma or inflammation may damage the cornea and, if not adequately treated, may result in loss of eyesight. Hence surgical intervention is required at the earliest possible stage. We have developed a subcutaneous pedicle flap elevated from the temporozygomatic area and rotated 180 degrees around a small pedicle base that contains the orbicularis oculi muscle. With this flap, the entire upper eyelid can be reconstructed as an aesthetic unit in one stage so that the result is satisfactory not only functionally, but also cosmetically. The operative procedure is presented along with case reports.

摘要

由外伤或炎症引起的兔眼症可能会损害角膜,如果治疗不充分,可能会导致视力丧失。因此,需要尽早进行手术干预。我们开发了一种从颞颧区域掀起的皮下带蒂皮瓣,围绕包含眼轮匝肌的小蒂基部旋转180度。使用这种皮瓣,可以在一个阶段将整个上眼睑作为一个美学单元进行重建,从而不仅在功能上,而且在美容上都能获得令人满意的结果。本文介绍了手术过程及病例报告。

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