Levin M L, Leone C R
Department of Ophthalmology, University of Texas Health Science Center, San Antonio.
Ophthalmic Plast Reconstr Surg. 1990;6(2):119-21. doi: 10.1097/00002341-199006000-00007.
We present a new approach to the bipedicle myocutaneous upper eyelid to lower eyelid flap in the repair of cicatricial ectropion in lower eyelid reconstruction, and in the release of tension caused by a previous cheek rotational flap. By incorporating the pedicles into the flap design, we prevent the persistent lymphedema and the raw tissue placed against exposed epidermis encountered in previous bipedicle myocutaneous flaps. Although there may be disadvantages associated with this procedure, we have not encountered any to date. Advantages of this procedure include the double source of blood supply and the superior cosmetic result as well as the avoidance of a second operative procedure. We recommend the use of the bipedicle myocutaneous flap in selected cases.
我们提出一种新的双蒂肌皮上睑至下睑皮瓣方法，用于修复下睑重建中的瘢痕性睑外翻，以及松解先前颊部旋转皮瓣引起的张力。通过将蒂部纳入皮瓣设计，我们避免了先前双蒂肌皮瓣中出现的持续性淋巴水肿以及与暴露表皮相对的创面组织。尽管该手术可能存在一些缺点，但我们至今尚未遇到任何问题。该手术的优点包括双重血供来源、更好的美容效果以及避免二次手术。我们建议在特定病例中使用双蒂肌皮瓣。
