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采用正中旁前额皮瓣进行内眦重建。

Medial Canthus Reconstruction with the Paramedian Forehead Flap.

作者信息

Gupta Rohun, John Jithin, Hart Justin, Chaiyasate Kongkrit

机构信息

Oakland University William Beaumont School of Medicine, Rochester, Mich.

Department of Plastic Surgery, Beaumont Health Systems, Royal Oak, Mich.

出版信息

Plast Reconstr Surg Glob Open. 2022 Jul 13;10(7):e4419. doi: 10.1097/GOX.0000000000004419. eCollection 2022 Jul.

DOI:10.1097/GOX.0000000000004419
PMID:35919689
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9278924/
Abstract

BACKGROUND

The medial canthus represents the medial confluence of the upper and lower eyelid margins and plays an integral role in the lacrimal duct system. Various flaps have been utilized for the reconstruction of the lower eyelid in the medial canthal region. Our institution primarily utilizes the paramedian forehead flap for the reconstruction of medial canthus defects. Our study looked to evaluate the work of a single plastic surgeon and identify their postoperative outcomes.

METHODS

A retrospective chart review was conducted at Beaumont Health System, Royal Oak, for patients who underwent medial canthal repair by the lead surgeon between the years 2014 and 2018. Demographic data, operative details, complications, medical comorbidities, and patient outcomes were retrospectively gathered and analyzed.

RESULTS

A total of five patients were isolated. Patients underwent paramedian forehead flap medial canthal repair by the lead surgeon and were found to tolerate the procedure well. All patients had clinically viable flaps with aesthetically pleasing results.

CONCLUSIONS

Utilization of the paramedian forehead flap leads to successful medial canthal repair with adequate coverage. Although the paramedian forehead flap requires three stages to complete, the procedure leaves patients with aesthetically pleasing results. In addition, the paramedian forehead flap has limited cases of ectropion. With the right expertise and patient population, the paramedian forehead flap can be highly successful in the repair of medial canthal defects.

摘要

背景

内眦代表上下眼睑边缘的内侧汇合处，在泪道系统中起着不可或缺的作用。多种皮瓣已被用于内眦区域下眼睑的重建。我们机构主要使用正中旁前额皮瓣来重建内眦缺损。我们的研究旨在评估一位整形外科医生的工作并确定其术后结果。

方法

在皇家橡树的博蒙特健康系统对2014年至2018年间由主刀医生进行内眦修复的患者进行回顾性病历审查。回顾性收集并分析人口统计学数据、手术细节、并发症、内科合并症和患者结果。

结果

共筛选出5例患者。这些患者由主刀医生进行正中旁前额皮瓣内眦修复，发现对该手术耐受性良好。所有患者的皮瓣在临床上均存活，外观效果令人满意。

结论

使用正中旁前额皮瓣可成功修复内眦，覆盖良好。尽管正中旁前额皮瓣需要三个阶段完成，但该手术给患者留下了美观的效果。此外，正中旁前额皮瓣导致睑外翻的情况有限。凭借正确的专业知识和患者群体，正中旁前额皮瓣在内眦缺损修复中可非常成功。

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