中华皮肤科杂志 ›› 2023, Vol. 56 ›› Issue (9): 862-865.doi: 10.35541/cjd.20220013

• 皮肤外科 • 上一篇    下一篇

上睑眼轮匝肌岛状皮瓣修复眼睑及眶周皮肤肿瘤切除后继发缺损28例回顾性分析

岳超1    段梦莹1    王涛1    章满玉2    戴叶芹1    彭建中1    宋秀祖1   

  1. 1杭州市第三人民医院皮肤科，杭州  310009；2中国美术学院，杭州  310009 
  • 收稿日期:2022-01-07 修回日期:2023-01-05 发布日期:2023-09-07
  • 通讯作者: 彭建中 E-mail:957889307@qq.com

Application of the upper eyelid orbicularis oculi myocutaneous island flap in repairing secondary defects after resection of eyelid and periorbital skin tumors: a retrospective analysis of 28 cases

Yue Chao1, Duan Mengying1, Wang Tao1, Zhang Manyu2, Dai Yeqin1, Peng Jianzhong1, Song Xiuzu1   

  1. 1Department of Dermatology, Hangzhou Third People′s Hospital, Hangzhou 310009, China; 2China Academy of Art, Hangzhou 310009, China
  • Received:2022-01-07 Revised:2023-01-05 Published:2023-09-07
  • Contact: Peng Jianzhong E-mail:957889307@qq.com

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摘要： 【摘要】 目的 总结分析上睑眼轮匝肌岛状皮瓣修复眶周皮肤肿瘤切除后继发缺损的效果。方法 回顾性分析2019年8月至2021年6月杭州市第三人民医院皮肤科应用上睑眼轮匝肌岛状皮瓣修复眼睑及眶周皮肤缺损的28例患者的临床资料，包括术后皮瓣成活情况以及上眼睑与眶周皮肤外观及肿瘤复发情况。结果 28例中，男6例，女22例；年龄47 ~ 87（70.5 ± 10.9）岁，80 ~ 89岁患者7例，70 ~ 79岁8例，60 ~ 69岁8例，50 ~ 59岁4例，40 ~ 49岁1例；皮肤缺损分布在上眼睑1例、下眼睑9例、内眦1例、外眦3例、眉上1例、鼻背3例，鼻部外侧与内眦、下睑交界区10例；缺损面积为0.5 cm × 1.0 cm ~ 2.3 cm × 3.1 cm。设计的上睑眼轮匝肌皮瓣宽0.5 ~ 1.8 cm，长3 ~ 4 cm，皮下隧道长1.2 ~ 2.5 cm。在6个月至1.5年的随访时间内，皮瓣全部存活；上睑供瓣区瘢痕不明显；术后无上睑外翻，无倒睫，无闭合功能障碍。结论 上睑眼轮匝肌岛状皮瓣可以成功修复眼睑及眶周皮肤中、小缺损，并具有良好的美容效果，供瓣区隐蔽。

关键词: 皮肤肿瘤, 修复外科手术, 外科皮瓣, 眼睑, 眼眶, 眼轮匝肌, 岛状皮瓣

Abstract: 【Abstract】 Objective To summarize and analyze the efficacy of the upper eyelid orbicularis oculi myocutaneous island flap in repairing secondary defects after resection of eyelid and periorbital skin tumors. Methods A retrospective analysis was carried out on clinical data collected from 28 patients, whose secondary eyelid and periorbital defects were repaired with the upper eyelid orbicularis oculi myocutaneous island flaps in the Department of Dermatology, Hangzhou Third People′s Hospital from August 2019 to June 2021. The survival condition of the flaps was observed after the operation, and the appearance of the upper eyelid and periorbital skin as well as tumor recurrence were evaluated during the follow up. Results Among the 28 cases, there were 6 males and 22 females; their ages ranged from 47 to 87 years （70.5 ± 10.9 years）, 7 patients aged 80 - 89 years, 8 aged 70 - 79 years, 8 aged 60 - 69 years, 4 aged 50 - 59 years, and 1 patient aged 40 - 49 years. Skin defects were distributed at the upper eyelid in 1 case, at the lower eyelid in 9 cases, at the inner canthus in 1 case, at the outer canthus in 3 cases, at the upper eyebrow in 1 case, at the dorsum of the nose in 3 cases, and at the junction of the external nose, inner canthus and lower eyelid in 10 cases. The skin defects varied from 0.5 cm × 1.0 cm to 2.3 cm × 3.1 cm in size. The designed upper eyelid orbicularis oculi myocutaneous flap was 0.5 - 1.8 cm in width and 3 - 4 cm in length, and the length of the subcutaneous tunnel was 1.2 - 2.5 cm. During the follow-up of 6 months to 1.5 years, all flaps survived; scars on the upper eyelid donor site were not obvious; there was no upper eyelid ectropion, no trichiasis, and no eyelid closure abnormality after the operation. Conclusion The medium- or small-sized defects of the eyelid and periorbital skin can be successfully repaired by the upper eyelid orbicularis oculi myocutaneous island flap, with a favorable cosmetic effect and concealed donor areas.

Key words: Skin neoplasms, Reconstructive surgical procedures, Surgical flaps, Eyelids, Orbit, Orbicularis oculi, Island flaps

引用本文

岳超 段梦莹 王涛 章满玉 戴叶芹 彭建中 宋秀祖. 上睑眼轮匝肌岛状皮瓣修复眼睑及眶周皮肤肿瘤切除后继发缺损28例回顾性分析[J]. 中华皮肤科杂志, 2023,56(9):862-865. doi:10.35541/cjd.20220013

Yue Chao, Duan Mengying, Wang Tao, Zhang Manyu, Dai Yeqin, Peng Jianzhong, Song Xiuzu. Application of the upper eyelid orbicularis oculi myocutaneous island flap in repairing secondary defects after resection of eyelid and periorbital skin tumors: a retrospective analysis of 28 cases[J]. Chinese Journal of Dermatology, 2023, 56(9): 862-865.doi:10.35541/cjd.20220013