Segal Kira L, Nelson Christine C
Kellogg Eye Center, Michigan Medicine, 1000 Wall Street, Ann Arbor, MI 48105, USA.
Kellogg Eye Center, Michigan Medicine, 1000 Wall Street, Ann Arbor, MI 48105, USA.
Facial Plast Surg Clin North Am. 2019 Feb;27(1):105-118. doi: 10.1016/j.fsc.2018.08.011.
Options for periorbital reconstruction include primary wound closure, local flaps, regional/distant flaps, or full-thickness skin grafts. Optimal aesthetic and functional outcomes are achieved by assessing regional contours, skin type, and facial aesthetic units. Like tissue should replace like tissue; for example, skin with skin, tarsus with tarsus (or equivalent material, eg, hard palate, ear cartilage, or autologous substitute), and conjunctiva with mucous membrane or like substitute (buccal mucous membrane, amniotic membrane). Patient characteristics including wound care needs, transportation needs, smoking status, and history of radiation can influence the reconstruction plan. Techniques most commonly used in our practice are reviewed.
眶周重建的选择包括一期伤口闭合、局部皮瓣、区域/远位皮瓣或全厚皮片移植。通过评估局部轮廓、皮肤类型和面部美学单位可实现最佳的美学和功能效果。应使用相似的组织替代相似的组织；例如，皮肤用皮肤替代，睑板用睑板（或等效材料，如硬腭、耳软骨或自体替代物）替代，结膜用黏膜或类似替代物（颊黏膜、羊膜）替代。患者的特征，包括伤口护理需求、交通需求、吸烟状况和放疗史，会影响重建计划。本文回顾了我们实践中最常用的技术。
