CAJ | 학술논문

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.
목적 탐토풍쟁피판재수복안검황색류절제후소치적안검전층결손중적응용.방법 황색류절제후,우결손섭측피부송이부위연피문방향설계풍쟁피판,안설계선절개피부,재안륜잡기하박리형성이안륜잡기위피하체적풍쟁피판,추진지피부결손구,용5-0니룡선봉합절구.자2005년이래공응용16례,20지안,년령34～68세,결손면적위5mm×10mm～10mm×22mm.결과 피판전부성활,절구Ⅰ기유합,수방시간3개월지3년,안검외형쌍측대칭,절구반흔불명현.결론 대우안검교대황색류절제후직접봉합회도치안검기형적안검전층결손,용풍쟁피판진행수복간단역행,효과가고.피판전이후국부평정,무수거제다여피부조직,수술후회복시간단,구유취재방편、편우추엄등우점.
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.