He Lin, Guan Tan-Ni, Wang Rui-Lin, Huang Li
Department of Plastic Surgery, Tongji Hospital, Tongji Medical College, Huazhog University of Science and Technology, Wuhan 430030, China.
Zhonghua Yan Ke Za Zhi. 2012 Mar;48(3):253-7.
In order to find an ideal method to reconstruct the upper eyelid defect resulted from trauma or inflammation, we explored the possibility of using forehead skin flap with the base at the supraorbital artery region and combined with free mucous membrane transplanting.
This article was a retrospective case senes analysis. Nine cases of upper eyelid defect have been collected from September 2003 to July 2008 in Tongji Hospital, Huazhong University of Science and Technology. We designed a forehead skin flap with the base at the opposite side supraorbital artery region transferring from the subcutaneous tunnel and combined with free mucous membrane transplanting to reconstruct the defected eyelid. We also made a forehead muscle in auxiliary to achieve upper eyelid elevating function. We followed up 1 to 5 years by Clinical observation and questionnaire survey from fuction, appearance and patient satisfaction.
All of these nine forehead skin flaps were survived. These flaps had stable blood supply, similar texture and color as well as fine feeling. The postoperative complications included 1 case of upper eyelid dysraphism, 1 case of skin hypertrophy, 2 cases of pedicle overstaffed, all these complications have been repaired in half a year after the operation. We followed up 1 to 5 years, every patient had got a good repair effect.
The forehead skin flap with the base at the supraorbital artery region is an ideal flap supply for repairing upper eyelid defect.
为探寻修复外伤或炎症所致上睑缺损的理想方法，我们探讨了采用以眶上动脉区域为蒂的额部皮瓣并联合游离黏膜移植的可行性。
本文为回顾性病例系列分析。收集了2003年9月至2008年7月在华中科技大学同济医院的9例上睑缺损病例。我们设计了以对侧眶上动脉区域为蒂的额部皮瓣，经皮下隧道转移，并联合游离黏膜移植来修复缺损眼睑。还制作了额肌辅助以实现上睑提功能。通过临床观察和功能、外观及患者满意度问卷调查进行了1至5年的随访。
9例额部皮瓣全部存活。这些皮瓣血供稳定，质地、颜色相近，感觉良好。术后并发症包括上睑闭合不全1例、皮肤肥厚1例、蒂部臃肿2例，均在术后半年内修复。随访1至5年，每位患者均获得了良好的修复效果。
以眶上动脉区域为蒂的额部皮瓣是修复上睑缺损的理想供瓣。
