CAJ | 학술논문

目的探索一种全下睑全层缺损Ⅰ期再造的手术方法.方法对11例患者设计颊部旋转皮瓣再造下睑皮肤,鼻中隔软骨黏膜复合组织片游离移植再造下睑的结膜和睑板,完成Ⅰ期再造全下睑全层缺损.结果 11例再造下睑全部成活,除2例发生再造下睑轻度退缩外,无其他并发症发生,外形及功能均令人满意.结论采用颊部旋转皮瓣覆盖皮肤,鼻中隔软骨黏膜复合组织移植片替代睑板和结膜行全下睑全层缺损再造,此术式操作简单,效果良好,是全下睑全层缺损再造的理想术式.
목적 탐색일충전하검전층결손Ⅰ기재조적수술방법.방법 대11례환자설계협부선전피판재조하검피부,비중격연골점막복합조직편유리이식재조하검적결막화검판,완성Ⅰ기재조전하검전층결손.결과 11례재조하검전부성활,제2례발생재조하검경도퇴축외,무기타병발증발생,외형급공능균령인만의.결론 채용협부선전피판복개피부,비중격연골점막복합조직이식편체대검판화결막행전하검전층결손재조,차술식조작간단,효과량호,시전하검전층결손재조적이상술식.
Objective To describe an ideal technique to repair full-thickness lower lid marginal defects in a one-stage procedure. Methods The buccal rotation flap and the nasal septal chondromucosal flap were used in one-stage operation to repair full-thickness lower eyelid defect. Results Eleven patients including 6 male patients and 5 female patients underwent lower eyelid reconstruction since January 2000.The age ranged from 29 to 64 years with average 43. Seven patients with full-thickness lower eyelid defect were caused by basal cell carcinoma excision, while four patients were caused by trauma. All the fullthickness lower eyelid defects were reconstructed by using the buccal rotation flap and the nasal septal chondromucosal flap in one-stage operation. All the flaps survived completely after operation. There were no other complications excepting that two patients developed to mild lower eyelid retration after six months. Conclusion The technique consisting of the buccal rotation flap and the nasal septal chondromucosal flap is a simple and useful alternative procedure to close full-thickness defects in the lower eyelid.