Eser Cengiz, Kesiktaş Erol, Gencel Eyüphan, Tabakan İbrahim, Yavuz Metin
Department of Plastic Reconstructive and Aesthetic Surgery, Çukurova University, Adana, Turkey.
Ophthalmic Plast Reconstr Surg. 2016 May-Jun;32(3):225-9. doi: 10.1097/IOP.0000000000000481.
The purpose of this study is to repair total or near-total lower eyelid defects by single-staged operative technique.
The procedure was performed on 7 referred patients who had a total or near-total lower eyelid defects after tumor extirpation or trauma. Patients ages were between 13 and 67 years (average, 46.5). Defects were repaired by simultaneous reconstruction of anterior and posterior lamellae using a bipedicled malar myocutaneous bridge flap, a nasojugal transposition flap, and a septal chondromucosal graft in combination.
Patients were followed up for 12 to 24 months (average, 18 months). No necrosis, hematoma, or infection was observed in flaps, and no recurrence was observed in any patients. Mild scleral show was observed at postoperative 12 months in 2 cases.
As an addition to classical methods, the present novel single-staged surgical procedure with the malar myocutaneous bridge flap, nasojugal transposition flap, and septal chondromucosal graft combination provides anatomical, functional, and stable reconstruction for total or near-total lower eyelid defects.
本研究旨在通过单阶段手术技术修复全层或近全层下睑缺损。
对7例因肿瘤切除或外伤导致全层或近全层下睑缺损的转诊患者进行了该手术。患者年龄在13至67岁之间（平均46.5岁）。采用双蒂颧部肌皮桥瓣、鼻颧部转位瓣和鼻中隔软骨黏膜移植物联合应用，同时重建前后层来修复缺损。
患者随访12至24个月（平均18个月）。皮瓣未观察到坏死、血肿或感染，所有患者均未观察到复发。2例患者术后12个月出现轻度巩膜暴露。
作为经典方法的补充，目前采用颧部肌皮桥瓣、鼻颧部转位瓣和鼻中隔软骨黏膜移植物联合的新型单阶段手术方法可为全层或近全层下睑缺损提供解剖学、功能性和稳定的重建。
