改良Mustardé皮瓣用于基底细胞癌下睑重建：再探讨
Modified Mustardé Flap for Lower Eyelid Reconstruction in Basal Cell Carcinoma: Revisited.
作者信息
Mitra Sandipta, Panda Smriti, Singh Chirom Amit, Thakar Alok
机构信息
Department of Otorhinolaryngology and Head and Neck Surgery, All India Institute of Medical Sciences, Room No- 4075, 4th floor, Teaching Block, New Delhi, 110029 India.
出版信息
Indian J Otolaryngol Head Neck Surg. 2023 Sep;75(3):2492-2495. doi: 10.1007/s12070-023-03768-4. Epub 2023 Apr 21.
BACKGROUND
Full thickness defects of lower eyelid, following oncological resection, often pose a formidable challenge to the operating surgeon. Although a plethora of reconstructive options have been tried, the Mustardé flap has stood the test of time.
METHODS
Our patient, a 57-year old lady, diagnosed with basal cell carcinoma of the left lower eyelid underwent full-thickness wide local excision and reconstruction using modified Mustardé flap. The anterior part of defect was reconstructed using the flap. The posterior part was reconstructed using septal mucoperichondrial-cartilage composite graft, sutured to remnant palpebral conjunctiva.
RESULTS
The patient had an uneventful post-operative period. On serial follow-up, the patient had an acceptable scar. At 6 months follow-up, the facial scar was barely perceptible with normal lower lid disposition.
CONCLUSION
The modified Mustardé flap is a simple and reliable reconstructive option for full-thickness lower eyelid defects following oncological resection in carefully selected cases.
背景
肿瘤切除术后下睑全层缺损常常给手术医生带来巨大挑战。尽管已经尝试了大量的重建方法，但Mustardé皮瓣经受住了时间的考验。
方法
我们的患者是一位57岁女性，诊断为左下睑基底细胞癌，接受了全层广泛局部切除，并使用改良Mustardé皮瓣进行重建。缺损的前部用皮瓣重建，后部用鼻中隔粘软骨膜 - 软骨复合移植片重建，并缝合到残留的睑结膜上。
结果
患者术后恢复顺利。在系列随访中，患者有一个可接受的瘢痕。在6个月随访时，面部瘢痕几乎不可见，下睑位置正常。
结论
对于精心挑选的病例，改良Mustardé皮瓣是肿瘤切除术后下睑全层缺损的一种简单可靠的重建选择。
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