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风筝皮瓣修复眼睑黄色瘤切除后的眼睑前层缺损
引用本文:赵素焱,由德博,田彦杰. 风筝皮瓣修复眼睑黄色瘤切除后的眼睑前层缺损[J]. 中国实用眼科杂志, 2010, 28(10). DOI: 10.3760/cma.j.issn.1006-4443.2010.10.011
作者姓名:赵素焱  由德博  田彦杰
作者单位:北京大学眼科中心,北京大学第三医院眼科,100191
摘    要:
目的 探讨风筝皮瓣在修复眼睑黄色瘤切除后所致的眼睑前层缺损中的应用.方法 黄色瘤切除后,于缺损颞侧皮肤松弛部位沿皮纹方向设计风筝皮瓣,按设计线切开皮肤,在眼轮匝肌下剥离形成以眼轮匝肌为皮下蒂的风筝皮瓣,推进至皮肤缺损区,用5-0尼龙线缝合切口.自2005年以来共应用16例,20只眼,年龄34~68岁,缺损面积为5mm×10mm~10mm×22mm.结果 皮瓣全部成活,切口Ⅰ期愈合,随访时间3个月至3年,眼睑外形双侧对称,切口瘢痕不明显.结论 对于眼睑较大黄色瘤切除后直接缝合会导致眼睑畸形的眼睑前层缺损,用风筝皮瓣进行修复简单易行,效果可靠.皮瓣转移后局部平整,无须去除多余皮肤组织,手术后恢复时间短,具有取材方便、便于推广等优点.

关 键 词:黄色瘤  风筝皮瓣  眼睑前层缺损

Using kite flap to repair the anterior lamellar skin defects of eyelid in treatment of xanthelasma
ZHAO Su-yan,YOU DE-bo,TIAN Yan-jie. Using kite flap to repair the anterior lamellar skin defects of eyelid in treatment of xanthelasma[J]. Chinese Journal of Practical Ophthalmology, 2010, 28(10). DOI: 10.3760/cma.j.issn.1006-4443.2010.10.011
Authors:ZHAO Su-yan  YOU DE-bo  TIAN Yan-jie
Abstract:
Objective To evaluate the use of the kite flap for the repair of anterior lamellar skin defects of eyelid after excision of xanthelasma. Methods After excision the xanthelasma, the flaps were designed at temporal adjacent to the defects and the incision line corresponding to natural winkle lines on the eyelid. The kite flap on a subcutaneous pedicle was advanced to cover the defect, and then incisions were closed with 5-0 suture. Since 2005, kite flaps had been used to repair anterior lamellar skin defects of eyelids in 16 patients with 20 sides in the age range of 34-68 years old, the defect area from 5 mm× 10 mm - 10 mm × 22 mm.Results After operation, all flaps survived with primary healing, cosmetic results were satisfactory after more than 3 months following-up. Conclusions It is a simple, safe, and reliable method to use kite flap for the repair of anterior lamellar eyelid skin defects that are too large to achieve primary approximation. Because the kite flap covers the defect without redundant skin were excision, the repaired area looks smoothly and the recovery time is short.
Keywords:Xanthelasma  Kite flap  Lamellar eyelid defect
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