CAJ | 학술논문

目的探讨臂外侧皮瓣修复重度眶窝闭锁畸形的方法并评价其效果. 方法 2011年6月至2013年6月,应用臂外侧皮瓣修复重度眶窝闭锁畸形14例,皮瓣制备成6 cm×10 cm水滴形,修剪部分表皮后以6 cm×6 cm皮瓣重建眶窝,其余筋膜部分修复颞部塌陷.桡侧副动脉后支同颞浅动脉吻合,后桡侧副静脉同颞浅静脉吻合11例、同颞中静脉吻合3例. 结果 14例皮瓣完全成活,经局部整形手术后均成功佩戴义眼,经1～3年随访颞部塌陷改善,修复效果较满意且无并发症发生. 结论臂外侧皮瓣修复眶窝闭锁畸形具有供区隐蔽、组织量恰当、血管匹配、功能障碍轻以及并发症少的优点,值得推荐.
목적 탐토비외측피판수복중도광와폐쇄기형적방법병평개기효과. 방법 2011년6월지2013년6월,응용비외측피판수복중도광와폐쇄기형14례,피판제비성6 cm×10 cm수적형,수전부분표피후이6 cm×6 cm피판중건광와,기여근막부분수복섭부탑함.뇨측부동맥후지동섭천동맥문합,후뇨측부정맥동섭천정맥문합11례、동섭중정맥문합3례. 결과 14례피판완전성활,경국부정형수술후균성공패대의안,경1～3년수방섭부탑함개선,수복효과교만의차무병발증발생. 결론 비외측피판수복광와폐쇄기형구유공구은폐、조직량흡당、혈관필배、공능장애경이급병발증소적우점,치득추천.
Objective To study the method and effect of lateral arm free flap in reconstruction of severe atresic eye socket.Methods Forteen cases of severe atresic eye socket,from June,2011 to June,2013,were repaired by lateral arm free flap.The flaps were designed and harvested as drop shape with size about 6 cm × 10 cm and then were removed epidermis except distal 6 cm × 6 cm area which were transferred to orbit for eye socket reconstruction.The remaining fascia and dermis were filled to augment temporal defect.Superficial temporal artery was anastomosed with posterior branch of radial collateral artery in 14 cases and superficial temporal vein was anstomosed with radial collateral vein in 11 cases,with middle temporal vein in 3 cases.Results All 14 cases lateral arm free flaps survived with no donor site morbidity.Followed up for 1 year to 3 years,artificial eye could be fitted satisfactorily and temporal contour improved.Conclusion Lateral arm free flap is a recommendable option for severe atresic eye socket reconstruction because of concealed donor site scar,proper volume,matched vascular caliber and minor donor site morbidity.