Associate Professor, Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, China.
Attending Doctor, Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, China.
J Oral Maxillofac Surg. 2021 Jul;79(7):1564-1569. doi: 10.1016/j.joms.2021.01.039. Epub 2021 Feb 9.
Extensive resection of skin carcinomas in the periorbital and forehead regions often results in complicated defects involving the upper eyelid, superciliary arch, and nasal dorsum. The aim of this study is to report our experience with the use of supraorbital artery perforator propeller flaps for primary repair of complicated forehead defects.
A total of 6 patients underwent carcinoma resection with primary surgical reconstruction using supraorbital propeller flap at the Peking University School and Hospital of Stomatology from December 2015 to December 2018. We describe the technique and retrospectively review the outcomes.
A single propeller flap was used in 5 patients and 2 propeller flaps (supraorbital and nasolabial artery propeller flaps) in 1 patient. Two patients developed venous congestion of the flap on the first postoperative day; however, in both cases it was relieved by multiple needle punctures. All flaps had survived well at 1-year follow-up. Five patients had a normal eyelid closure, but 1 patient presented with lagophthalmos, which required correction by secondary surgery.
Propeller flap based on the supraorbital artery is a feasible option for primary reconstruction of supraorbital-forehead defect.
在眶周和额部区域广泛切除皮肤癌常导致涉及上眼睑、眉弓和鼻背的复杂缺损。本研究旨在报告我们使用额部动脉穿支推进皮瓣进行原发性修复额部复杂缺损的经验。
2015 年 12 月至 2018 年 12 月，北京大学口腔医学院共 6 例患者接受了皮肤癌切除术，并采用额部推进皮瓣进行了原发性手术重建。我们描述了该技术，并对结果进行了回顾性分析。
5 例患者采用了单推进皮瓣，1 例患者采用了双推进皮瓣（额部和鼻唇动脉推进皮瓣）。2 例患者术后第 1 天出现皮瓣静脉淤血，但在这 2 例患者中，通过多次针刺缓解了静脉淤血。所有皮瓣在 1 年随访时均存活良好。5 例患者的眼睑闭合正常，但 1 例患者出现睑裂闭合不全，需要通过二次手术矫正。
基于额部动脉的推进皮瓣是修复额部-眶上部缺损的一种可行选择。
