Yang Mei, Zhao Yanyong
From the *Department of Plastic Surgery, Beijing Anzhen Hospital, Capital Medical University; and †Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, People's Republic of China.
J Craniofac Surg. 2015 Mar;26(2):576-9. doi: 10.1097/SCS.0000000000001430.
Full-thickness lower eyelid defect is one of common surgical diseases, which may lead to exposure keratopathy, corneal ulceration, and blindness. The aim of this study was to investigate the effect of superficial temporal artery island flap combined with auricular cartilage graft on the repair of full-thickness lower eyelid defect.In this study, the reconstructions in 6 patients who had unilateral full-thickness lower eyelid defects due to ocular traumas or surgical resections of malignant tumors were carried out. The island flap of the frontal branch of superficial temporal artery reconstructed the outer layer and the total lower lid was supported with the plane of an auricular cartilage strip, offering a proper contour and physical strength to maintain a normal eyelid height. The follow-up time ranged from 6 to 24 months. No major complications including partial or total flap necrosis, signs of infection, venous congestion, and hematoma were seen in any of the patients, and all cases have been reconstructed well both aesthetically and functionally, showing esthetic eyelid contour, good color, and texture match.Superficial temporal artery island flap combined with auricular cartilage graft is a useful method functionally and cosmetically for the reconstructions of full-thickness lower eyelid defects because of its advantages including rich vascularity based on superficial temporal artery, wide pedicle rotational arc, which could be transferred throughout the face region, good eyelid contour with color and texture match, limited donor-site scar, and minimal postoperative morbidity.
下睑全层缺损是常见的外科疾病之一，可导致暴露性角膜病变、角膜溃疡和失明。本研究旨在探讨颞浅动脉岛状皮瓣联合耳软骨移植修复下睑全层缺损的效果。在本研究中，对6例因眼外伤或恶性肿瘤手术切除导致单侧下睑全层缺损的患者进行了重建。颞浅动脉额支岛状皮瓣重建外层，用耳软骨条平面支撑整个下睑，提供合适的轮廓和物理强度以维持正常的睑裂高度。随访时间为6至24个月。所有患者均未出现包括部分或全部皮瓣坏死、感染迹象、静脉淤血和血肿在内的严重并发症，所有病例在美学和功能上均重建良好，呈现出美观的眼睑轮廓、良好的颜色和质地匹配。颞浅动脉岛状皮瓣联合耳软骨移植是一种在功能和美学上用于重建下睑全层缺损的有效方法，因为它具有以下优点：基于颞浅动脉的丰富血供、宽蒂旋转弧（可转移至整个面部区域）、良好的眼睑轮廓及颜色和质地匹配、供区瘢痕有限以及术后发病率极低。
