中华医学美学美容杂志
中華醫學美學美容雜誌
중화의학미학미용잡지
CHINESE JOURNAL OF MEDICAL AESTHETICS AND COSMETOLOGY
2011年
6期
414-416
,共3页
眼睑分裂痣%皮瓣%上睑提肌%睑缘%睑板
眼瞼分裂痣%皮瓣%上瞼提肌%瞼緣%瞼闆
안검분렬지%피판%상검제기%검연%검판
Divided naevus of the eyelid%Skin flap%Levator palpebrae muscle%Eyelid margin%Tarsal plate
目的 探讨颞侧眼睑分裂痣Ⅰ期手术的临床疗效.方法 术中先完全切除患侧浸及皮肤、睑缘及睑板的痣组织,并制作共蒂双斧状皮瓣.根据病变切除范围的大小及皮瓣转位后的张力,做相应睑缘缩短.通过睑板下移做睑缘重建.根据睑板切除的高度计算上睑提肌-Müller肌的延长量.皮瓣转位覆盖缺损的眼睑皮肤,在低张力下缝合.结果 8例8只眼均为单侧,术后经22个月至3年的随访,患眼脸缘位置正常,皮肤无明显色差,瘢痕不明显,患眼睑裂大小及上下睑活动良好,未见痣复发.结论 针对较大的颞侧眼睑分裂痣,治疗中除需考虑皮瓣修复的设计外,睑板缩短、睑缘重建和上睑提肌力量的均衡也同样不可忽视.
目的 探討顳側眼瞼分裂痣Ⅰ期手術的臨床療效.方法 術中先完全切除患側浸及皮膚、瞼緣及瞼闆的痣組織,併製作共蒂雙斧狀皮瓣.根據病變切除範圍的大小及皮瓣轉位後的張力,做相應瞼緣縮短.通過瞼闆下移做瞼緣重建.根據瞼闆切除的高度計算上瞼提肌-Müller肌的延長量.皮瓣轉位覆蓋缺損的眼瞼皮膚,在低張力下縫閤.結果 8例8隻眼均為單側,術後經22箇月至3年的隨訪,患眼臉緣位置正常,皮膚無明顯色差,瘢痕不明顯,患眼瞼裂大小及上下瞼活動良好,未見痣複髮.結論 針對較大的顳側眼瞼分裂痣,治療中除需攷慮皮瓣脩複的設計外,瞼闆縮短、瞼緣重建和上瞼提肌力量的均衡也同樣不可忽視.
목적 탐토섭측안검분렬지Ⅰ기수술적림상료효.방법 술중선완전절제환측침급피부、검연급검판적지조직,병제작공체쌍부상피판.근거병변절제범위적대소급피판전위후적장력,주상응검연축단.통과검판하이주검연중건.근거검판절제적고도계산상검제기-Müller기적연장량.피판전위복개결손적안검피부,재저장력하봉합.결과 8례8지안균위단측,술후경22개월지3년적수방,환안검연위치정상,피부무명현색차,반흔불명현,환안검렬대소급상하검활동량호,미견지복발.결론 침대교대적섭측안검분렬지,치료중제수고필피판수복적설계외,검판축단、검연중건화상검제기역량적균형야동양불가홀시.
Objective To evaluate the clinical effects of one stage treatment for the temporal divided naevus of the eyelid.Methods The divided naevus infiltrated to the skin,eyelid margin and tarsal plate was completely resected,and co-pedicle double hatchet skin flaps were trimmed.According to the areas of the defects and tension of the sliding flaps,shortening of the eyelids' margins were undertaken.The upper eyelid margin was reconstructed by the downward shift of the tarsal plate.According to the resected height of the tarsal plate,the extended length of the levator aponeurosisMüller's muscle compound was measured.Skin trimming was unnecessary and the incisions were usually closed under no tensions.Results Eight eyelids of eight cases were treated by this method and followed up for 22 months to 3 years,the eyelids' margins were all in normal positions,without skin chromatic aberration and obvious scar formation.The size of the palpebral fissure and eyelids' movement were normal and no recurrence happened in all patients.Conclusions In addition to the design of the skin flaps,the shortening and reconstruction of the eyelid margin and the balance of the levator palpebrae muscle should also be considered for a bigger temporal divided uaevus in the eyelid.
