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利用局部、区域和游离软骨移植技术修复上下眼睑广泛的眼周及双层缺损:一例报告

Reconstruction of an Extensive Periocular and Bilamellar Defect of the Lower and Upper Eyelid Using Local, Regional and Free Chondral Graft Techniques: A Case Report.

作者信息

Weerdt Glenn De, Luyten Pieter, Dubrulle Fabrice, Loonen Martain

机构信息

Department of Plastic, Reconstructive and Aesthetic surgery at AZ Groeninge Hospital Kortrijk, Belgium.

Beverly Hills Sunset Surgery Center at Valiant Clinic Dubai, United Arab Emirates.

出版信息

World J Plast Surg. 2021 Jan;10(1):125-131. doi: 10.29252/wjps.10.1.125.

DOI:10.29252/wjps.10.1.125
PMID:33833965
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8016385/
Abstract

A 65-year-old female patient with a histologically confirmed basal cell carcinoma located at the right lateral lower eyelid was referred for surgical tumour excision and reconstruction of the periorbital area. The periocular zone was reconstructed in a two-staged procedure with bilamellar repair of both eyelids. An autologous chondral graft, mucosal advancement techniques and a periosteum-temporalis fascia hinged turnover flap were used for reconstruction of the posterior lamellae. A modified Tenzel flap and a paramedian forehead flap were used for reconstruction of the anterior lamellae. An acceptable functional and aesthetic outcome of the reconstruction was achieved.

摘要

一名65岁女性患者,经组织学确诊为位于右下眼睑的基底细胞癌,因手术切除肿瘤及眼眶周围区域重建前来就诊。眼周区域采用两阶段手术进行重建,对双侧眼睑进行双层修复。自体软骨移植、黏膜推进技术和颞肌筋膜带蒂翻转皮瓣用于后层重建。改良Tenzel皮瓣和旁正中前额皮瓣用于前层重建。重建取得了可接受的功能和美学效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10df/8016385/927969d4ea1c/wjps-10-125-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10df/8016385/85a56e40f474/wjps-10-125-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10df/8016385/eb7c3c66887a/wjps-10-125-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10df/8016385/f79d81d30f7c/wjps-10-125-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10df/8016385/270fd9e7e78f/wjps-10-125-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10df/8016385/7650a8f19181/wjps-10-125-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10df/8016385/927969d4ea1c/wjps-10-125-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10df/8016385/85a56e40f474/wjps-10-125-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10df/8016385/eb7c3c66887a/wjps-10-125-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10df/8016385/f79d81d30f7c/wjps-10-125-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10df/8016385/270fd9e7e78f/wjps-10-125-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10df/8016385/7650a8f19181/wjps-10-125-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10df/8016385/927969d4ea1c/wjps-10-125-g006.jpg

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本文引用的文献

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Novel "all-in-one" sandwich technique for reconstruction of full-thickness defects of the lower eyelid: a case report.新型“一体式”三明治技术修复下眼睑全层缺损:病例报告。
J Int Med Res. 2020 Apr;48(4):300060520918697. doi: 10.1177/0300060520918697.
2
Surgical Treatment with Locoregional Flaps for the Eyelid: A Review.眼睑局部皮瓣的手术治疗:综述。
Biomed Res Int. 2017;2017:6742537. doi: 10.1155/2017/6742537. Epub 2017 Oct 26.
3
Total Upper and Lower Eyelid Reconstruction: A Rare Procedure--A Report of Two Cases.
Plast Reconstr Surg. 2015 Oct;136(4):855-859. doi: 10.1097/PRS.0000000000001600.
4
The use of forehead flaps in the management of large basal cell carcinomas of the medial canthus/medial lower eyelid in Saudi patients.前额皮瓣在沙特患者内眦/下睑内侧大型基底细胞癌治疗中的应用。
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Periorbital reconstruction with the expanded pedicled forehead flap.带蒂扩张额部皮瓣眶周重建术。
Ann Plast Surg. 2015 Mar;74(3):313-7. doi: 10.1097/SAP.0b013e3182978a29.
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Single-stage frontalis muscle flap for full-thickness reconstruction of the upper eyelid.单阶段额肌瓣用于上睑全层重建。
J Craniofac Surg. 2011 Sep;22(5):1762-4. doi: 10.1097/SCS.0b013e31822e6321.
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Reconstructions of eyelid defects.眼睑缺损的修复
Indian J Plast Surg. 2011 Jan;44(1):5-13. doi: 10.4103/0970-0358.81437.
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The tunneled forehead flap in medial canthal and eyelid reconstruction.经额部隧道皮瓣在内外眦及眼睑重建中的应用。
Dermatol Surg. 2010 Jul;36(7):1118-25. doi: 10.1111/j.1524-4725.2010.01593.x.
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Techniques and outcomes of total upper and lower eyelid reconstruction.上下眼睑全层重建的技术与结果
Arch Ophthalmol. 2007 Dec;125(12):1601-9. doi: 10.1001/archopht.125.12.1601.
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Forehead flap periorbital reconstruction.
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