颞肌筋膜瓣与全厚皮片移植修复下睑凹陷性畸形

目的 探讨颞筋膜瓣或颞肌筋膜瓣与自体全厚皮片移植，在下睑凹陷性瘢痕畸形修复中的应用效果。方法 设计以颞浅动脉为蒂的颞筋膜瓣，对伴眶下壁骨缺损者同时行以颞浅、深动脉为蒂的颞肌筋膜瓣，并取耳后全厚皮片移植联合矫正下睑凹陷性畸形。结果 8例患者，术后组织瓣及皮片成活良好，凹陷处填充效果满意。随访6个月至1年，睑外翻矫正，瘢痕不显，颞部供区毛发生长良好。结论 应用颞筋膜瓣或颞肌筋膜瓣与全厚皮片移植，联合矫正下睑凹陷性畸形的方法，具有操作简便。且无明显的供区损害的特点，是修复下睑凹陷性瘢痕畸形较理想的方法。

Clinical application of temporal fascia flap or temporal muscle fascia flap combined with full thickness skin graft for repairing lower lid depressed deformities

Objective To evaluate the curative effect of temporal fascia flap or temporal muscle fascia flap combined with full thickness skin graft for repairing lower lid depressed deformities. Methods All the scars from 8 cases with lower lid scar and depression deformities were excised, the temporal fascia flaps pedicled with superficial temporal artery were transferred to fill the depression. For some cases with a mild orbital bony defect, the temporal muscle fascia flaps pedicled with both superficial and deep temporal artery was used. A full thickness skin were used to cover the surface of the fascia flaps. All patients were followed up for 6-12 months. Results All 8 fascia flaps or muscle fascia flaps and skin graft remained viable, maintaining a satis- factory long - term full contour. Ectropin of the lower eyelids were repaired. There were no hair defect or obvious scar formation in the donor site. Conclusion Temporal fascia flap or temporal muscle fascia flap combined with full thickness skin graft is an optimal choice for the repair of the lower lid scar and depression. It is a simple and effective procedure with no noticeable donor site lesion.