CAJ | 학술논문

目的目的探讨利用自体鼻中隔软骨黏膜瓣移植重建眼睑肿瘤切除术后眼睑大范围全层缺损的临床疗效.方法对19例眼睑恶性肿瘤切除术后眼睑全层缺损大于或等于眼睑全长1/2的患者,采用鼻中隔软骨黏膜瓣移植替代眼睑后层,即睑板和睑结膜层；利用眼周带轮匝肌转移皮瓣修复眼睑前层,即皮肤肌肉层.结果全部患者随访5～54个月(平均28个月).转移皮瓣全部成活,鼻中隔软骨黏膜瓣植片成活良好,眼睑外观及功能恢复较满意.结论自体鼻中隔软骨黏膜瓣移植可以重建眼睑恶性肿瘤切除术后大于或等于眼睑全长1/2的全层缺损,效果肯定.
목적 목적 탐토이용자체비중격연골점막판이식중건안검종류절제술후안검대범위전층결손적림상료효.방법 대19례안검악성종류절제술후안검전층결손대우혹등우안검전장1/2적환자,채용비중격연골점막판이식체대안검후층,즉검판화검결막층；이용안주대륜잡기전이피판수복안검전층,즉피부기육층.결과 전부환자수방5～54개월(평균28개월).전이피판전부성활,비중격연골점막판식편성활량호,안검외관급공능회복교만의.결론 자체비중격연골점막판이식가이중건안검악성종류절제술후대우혹등우안검전장1/2적전층결손,효과긍정.
ObJective To investigate the clinical effect of the nasal septum chondro mucosal flap in the reconstruction of severe full-thickness eyelid defects after the surgery of malignant eyelid tumors.Methods Among the 19 eyes of 19 patients treated with full-thickness eyelid defects of half or more palpebral length after the surgery of malignant eyelid tumors,the nasal septum chondro mucosal flap was grafted to replace the posterior layers of the eyelid (the tarsus and the conjunctiva) while periocular orbicularis muscular flaps were utilized to reconstruct the anterior layers of the eyelid (the skin and muscular layer).Results All patients were followed for 5 to 54 months,averaged 28 months.The flaps and hard palate mucosal grafts existed well in all cases.Grafts were observed and satisfactory aesthetic and functional results were achieved.Conclusions Grafting of the nasal septum chondro mucosal flap can repair full-thickness eyelid defects of half or more palpebral length after the surgery of malignant eyelid tumors with definite and good outcome.