改良风筝皮瓣在治疗外眦分裂痣中的临床应用
[Clinical application of modified kite flap in treatment of divided nevus of lateral canthus].
作者信息
Sheng Shuwen, Wen Huicai, Huang Jinjun, Fu Jianhua, Lu Yingjie, Liao Huaiwei, Tu Jun
机构信息
Department of Plastic Surgery, the First Affiliated Hospital of Nanchang University, Nanchang Jiangxi, 330006, P.R.China.
Department of Plastic Surgery, the First Affiliated Hospital of Nanchang University, Nanchang Jiangxi, 330006,
出版信息
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2019 Dec 15;33(12):1556-1559. doi: 10.7507/1002-1892.201905012.
OBJECTIVE
To investigate the effectiveness of modified kite flap in repair of soft tissue defect after divided nevus of lateral canthus excision.
METHODS
Between October 2010 and April 2018, 20 children (20 eyes) with divided nevus of lateral canthus were admitted. There were 13 boys and 7 girls, with an average age of 7.9 years (mean, 4-14 years). There were 11 cases of moderate range lesions (maximum diameter, 1.5-2.0 cm) and 9 cases of small range lesions (maximum diameter, <1.5 cm). After excising the divided nevus of lateral canthus, the area of soft tissue defect ranged from 0.72 to 3.23 cm。The modified kite flap was used to reconstruct the structure and shape of lateral canthus.
RESULTS
There were 16 cases of mixed nevus and 4 cases of intradermal nevus. The flaps survived and the incisions healed by the first intention. The patients were followed up 12-22 months (mean, 13.6 months). There was no malformation, valgus, exposure keratitis, or obvious scar. No malignant transformation occurred or nevus recurred during follow-up. At last follow-up, the effectiveness was rated as excellent in 16 cases, good in 3 cases, and poor in 1 case.
CONCLUSION
The modified kite flap can repair the soft tissue defect after excising the divided nevus of lateral canthus, and obtain the good appearance and function of lateral canthus.
目的
探讨改良风筝皮瓣修复外眦分裂痣切除术后软组织缺损的效果。
方法
选取2010年10月至2018年4月收治的20例（20眼）外眦分裂痣患儿。其中男13例，女7例，平均年龄7.9岁（4～14岁）。中度范围病变11例（最大直径1.5～2.0 cm），小范围病变9例（最大直径＜1.5 cm）。切除外眦分裂痣后，软组织缺损面积为0.72～3.23 cm。采用改良风筝皮瓣重建外眦结构与形态。
结果
混合痣16例，皮内痣4例。皮瓣全部成活，切口一期愈合。随访12～22个月（平均13.6个月），无畸形、外翻、暴露性角膜炎及明显瘢痕。随访期间无恶变及痣复发。末次随访时，效果评定为优16例，良3例，差1例。
结论
改良风筝皮瓣可修复外眦分裂痣切除术后的软组织缺损，获得良好的外眦外观及功能。
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