Ogawa Yutaka, Takemoto Takashi, Suzuki Kenji, Kusumoto Kenji
Rakuwakai Otowa Kinen Hospital, Kyoto, Japan.
Ann Plast Surg. 2011 Apr;66(4):360-3. doi: 10.1097/SAP.0b013e3181d9aa21.
The wide applications of the subcutaneous pedicle flap "lateral orbital flap" named by the author is presented. The flap is designed between the lateral canthus and the sideburn as a spindle or crescent shaped island 2- to 3-cm wide and 5-cm long. To reconstruct the upper or lower eyelids, the flap is elevated as thin as possible, whereas for the eye socket reconstruction, an adequate volume of subcutaneous fat tissue is attached to the flap. The pedicle is designed inferomedially for the reconstruction of the recipient, any shape of the flap can be designed. As the anatomic structure of the donor site is similar to the eyelid, the excellent result can be obtained both functionally and cosmetically. The donor site is primarily closed without a marked scar. The cases of reconstructions using lateral orbital flap for the upper eyelid and the eye socket in the anophtalmic condition are presented.
本文介绍了作者命名的皮下蒂皮瓣“眶外侧皮瓣”的广泛应用。该皮瓣设计于外眦与鬓角之间，呈纺锤形或新月形岛状，宽2至3厘米，长5厘米。用于重建上睑或下睑时，皮瓣应尽可能薄地掀起；而用于眼眶重建时，皮瓣应附着适量的皮下脂肪组织。蒂设计在内下方以用于受区重建，皮瓣可设计成任何形状。由于供区的解剖结构与眼睑相似，因此在功能和美容方面均可获得优异效果。供区可一期闭合，不留明显瘢痕。本文还介绍了在无眼球情况下使用眶外侧皮瓣重建上睑和眼眶的病例。
