眼轮匝肌肌皮瓣与“风筝”皮瓣联合重睑成形术修复眼睑肿块切除后眼睑前层缺损的效果对比

目的 对比分析眼轮匝肌肌皮瓣与“风筝”皮瓣联合重睑成形术修复眼睑肿块切除后眼睑前层缺损的临床效果.方法 选择2018年3月至2019年9月到我院进行修复治疗的36例眼睑肿块切除后眼睑前层缺损患者为研究对象,根据其术式不同进行分组,A组(n=20)采用眼轮匝肌肌皮瓣联合重睑成形术进行修复治疗,B组(n=16)采用“风筝”...

Comparison of the effect of orbicularis oculi myocutaneous flap and"Kite"flap combined with double eyelid plasty in the repair of eyelid anterior layer defect after eyelid mass resection

Objective To compare and analyze the clinical effect of orbicularis oculi myocutaneous flap and"Kite"flap combined with double eyelid plasty in the repair of anterior eyelid defect after eyelid mass resection.Methods From March 2018 to September 2019,36 patients with eyelid anterior layer defect after eyelid mass resection were selected as the research objects,and they were divided into groups according to their different surgical methods.Group A(n=20)was treated with orbicularis oculi myocutaneous flap combined with blepharoplasty.Group B(n=16)was treated with"Kite"flap combined with blepharoplasty.Compare the amount of bleeding,operation time,skin survival rate and patient satisfaction.Results The blood loss(11.75±2.17 ml)and operation time(44.70±7.55 min)in group A were significantly less than those in group B(17.69±2.89 ml)and operation time(54.19±6.68 min)(P<0.05).There was no significant difference in flap survival rate(100%)between the two groups(P>0.05).The postoperative complications in group A(5%)was significantly lower than that in group B(31.25%)(P<0.05).The satisfaction rate of group A was 95.0%,which was significantly higher than that of group B(68.75%).Conclusion The orbicularis oculi myocutaneous flap and kite flap combined with double eyelid plasty can repair the skin defect after eyelid mass resection,and the survival rate of flap is high.However,the orbicularis oculi myocutaneous flap combined with double eyelid plasty has less blood loss and higher patient satisfaction,which is worthy of promotion and application.