CAJ | 학술논문

目的：探讨利用移植技术联合重睑成形术修复上睑缺损的方法及临床意义。方法：根据上睑缺损程度、部位，选择眼睑皮肤移植、眼轮匝肌肌皮瓣以及扩张超薄皮瓣等方法进行修复，同时行重睑成形术。结果：20例患者中，利用对侧上睑皮肤游离移植修复上睑缺损5例，利用眼轮匝肌肌皮瓣旋转、推进修复上睑皮肤缺损10例，利用扩张超薄皮瓣修复上睑皮肤缺损5例。术后无皮瓣坏死、无供区继发畸形等并发症，随访3～18个月，功能恢复完全，形态满意，双侧眼睑睁、闭眼时的动态表情一致。结论：对于外伤后瘢痕或良性肿瘤切除后所致的上睑缺损畸形，利用重睑成形技术的修复，实现了上睑功能和神态的同时恢复，且不遗留供区畸形，是一种设计合理、灵活、具有个性化的美容性修复方法。
목적：탐토이용이식기술연합중검성형술수복상검결손적방법급림상의의。방법：근거상검결손정도、부위，선택안검피부이식、안륜잡기기피판이급확장초박피판등방법진행수복，동시행중검성형술。결과：20례환자중，이용대측상검피부유리이식수복상검결손5례，이용안륜잡기기피판선전、추진수복상검피부결손10례，이용확장초박피판수복상검피부결손5례。술후무피판배사、무공구계발기형등병발증，수방3～18개월，공능회복완전，형태만의，쌍측안검정、폐안시적동태표정일치。결론：대우외상후반흔혹량성종류절제후소치적상검결손기형，이용중검성형기술적수복，실현료상검공능화신태적동시회복，차불유류공구기형，시일충설계합리、령활、구유개성화적미용성수복방법。
Objective To investigate the use of transplant techniques combined with double eyelid technology for upper eyelid defect reconstruction and the significance of clinical application.Methods According to the degree and location of upper eyelid defect, selected the methods of eyelid skin grafting,local flaps,orbicularis oculi myocutaneous flaps or expanded super-thin flaps, and combined with double eyelid surgery simultaneously. Results 20 patients with different kinds of upper eyelid defect underwent this method of treatment,5 cases for using of the contralateral upper eyelid skin graft,10 cases for using of the orbicularis oculi myocutaneous flaps rotating or advancing, and 5 cases for using of expanded super-thin flap.Follow up for 3 to 18 months postoperatively showed there was no flap necrosis,secondary deformity and other postoperative complication occurred,the function recovered satisfactory and the bilateral eyelids played the expression consistently. Conclusion To restore the upper eyelid defect after traumatic scar or benign tumors resection,the use of double eyelid technology can achieve both function and appearance recovery, and no donor site malformation left,this is a cosmetic reconstructive method with rationalization, flexibility and personalization.