Pierazzi Diletta Maria, Arleo Sergio, Faini Gianpaolo
Division of Plastic and Reconstructive Surgery, Department of Medicine, Surgery and Neuroscience, "Santa Maria alle Scotte" Hospital, University of Siena, Siena 53100, Italy.
Department of Surgery, Operative Unit of Reconstructive Surgery and Microsurgery, ASST Valle Camonica. 25040 Esine, Brescia Italy.
JPRAS Open. 2023 Jul 24;37:171-174. doi: 10.1016/j.jpra.2023.07.006. eCollection 2023 Sep.
Reconstructive surgery of the medial canthus is among one of the most challenging due to its complex anatomy and aesthetic features. In this area even the slightest deformity or asymmetry is noticeable. Reconstructive surgery of this anatomical region aims to restore the tissue defect ensuring an appropriate aesthetic and functional feature, restoring colour, thickness and consistency of the replaced tissue. Orbicularis oculi myocutaneous flap is an option to reconstruct the medial canthal region; in this paper the authors present their experience with orbicularis oculi myocutaneous flap in 10 patients with medial canthal malignant lesions. The patients' postoperative period was uneventful, the flaps usually showed some degree of temporary venous congestion during the first days after surgery, and any donor site morbidity was observed: no lid lag, ectropion, ptosis, or other eyelid deformity. This flap offers a similarity in texture, colour, and thickness to the recipient site and a negligible incidence of donor site morbidity, and it can be easily tailored to fit the shape of the soft tissue defect.
由于内眦部解剖结构复杂且具有美学特点，内眦部重建手术是最具挑战性的手术之一。在该区域，即使是最轻微的畸形或不对称也很明显。该解剖区域的重建手术旨在修复组织缺损，确保获得合适的美学和功能特性，恢复替换组织的颜色、厚度和质地。眼轮匝肌肌皮瓣是重建内眦区域的一种选择；在本文中，作者介绍了他们使用眼轮匝肌肌皮瓣治疗10例内眦部恶性病变患者的经验。患者术后恢复顺利，皮瓣在术后最初几天通常会出现一定程度的暂时性静脉淤血，未观察到供区有任何并发症：无眼睑滞后、睑外翻、上睑下垂或其他眼睑畸形。该皮瓣在质地、颜色和厚度方面与受区相似，供区并发症发生率可忽略不计，并且可以很容易地进行调整以适应软组织缺损的形状。
