[1]刘子瑶,廖丁莹,熊 蕾,等. 唇黏膜并眶周皮瓣移植修复中重度全层眼睑缺损[J].中国美容医学,2019,(11):29-32.
　LIU Zi-yao,LIAO Ding-ying,XIONG Lei,et al. Repair of Moderate to Severe Full-thickness Eyelid Defects with Labial Mucosaorbital Flaps Transplantation[J].Medical Aesthetics and Beauty,2019,(11):29-32.
点击复制

 唇黏膜并眶周皮瓣移植修复中重度全层眼睑缺损
()
分享到：

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年11期
页码:
29-32
栏目:
出版日期:
2019-11-05

文章信息/Info

Title:
 Repair of Moderate to Severe Full-thickness Eyelid Defects with Labial Mucosaorbital Flaps Transplantation
文章编号:
1008-6455（2019）11-0029-04
作者:
 刘子瑶; 廖丁莹; 熊 蕾; 刘叶子; 郑玉萍; 熊全臣; 王建明
Author(s):
 LIU Zi-yao; LIAO Ding-ying; XIONG Lei; LIU Ye-zi; ZHENG Yu-ping; XIONG Quan-chen; WANG Jianming
关键词:
 ; [关键词]眼睑缺损; 全层缺损; 中重度; 唇黏膜; 眶周皮瓣; 缺损修复
Keywords:
 ; Key words: eyelid defect;  full-thickness defect;  moderate to severe;  labial mucosa;  periorbital flap;  defect repair
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的：分析唇黏膜并眶周皮瓣移植修复中重度全层眼睑缺损的手术疗效及手术成败的关键影响因素。方法：回顾性病
例分析，2010年8月-2017年6月西安交通大学第二附属医院眼科就诊的眼睑肿瘤所致的中重度眼睑全层缺损患者18例（18只
眼）。所有患者均行肿瘤彻底切除，一期唇黏膜并眶周皮瓣移植手术治疗，术后观察并随访植片成活情况、睑缘位置、眼睑
睁闭功能、外观情况、供皮区愈合情况、患者舒适度、肿瘤是否复发等。结果：18例患者移植唇黏膜及皮瓣均成活、供皮区
愈合好、睑缘无明显内外翻、闭合功能良好，1例因上睑皮瓣厚重丧失上睑上提功能，1例长期有不明原因的眼磨不适感。所
有眼睑肿瘤患者随访1年以上，均未见肿瘤复发。结论：唇黏膜在眼睑重建中是一种较理想的后层替代材料，唇黏膜并眶周
皮瓣移植在中重度全层眼睑缺损的重建中疗效肯定，是可供临床选用的可靠方法，手术的成功与术前、术中的个性化设计及
操作技巧密不可分。

Abstract:

Abstract: Objective To investigate the efficacy and key factors of the labial mucosa-orbital flap transplantation applying in the
treatment of moderate to severe full-thickness eyelid defect. Methods This was a retrospective case series study (from August
2010 to June 2017). 18 eyes of 18 patients with moderate to severe full-thickness eyelid defect induced by eyelid tumor who
underwent complete tumors resection and one-stage labial mucosa-orbital flap transplantation were retrospectively reviewed.
Survival status of graft, eyelid margin position, eyelid function, appearance, healing of donor skin sites, comfort degree and
recurrence of tumor were observed during follow-up. Results A total of 18 patients, all the transplanted lip mucous membranes
and flaps were survived, and they all had good healing of donor skin sites and eyelid closure function, without any entropion
and ectropion. One eye could not lift upper eyelid that might result from thickness flap. One patient felt uncomfortable without
knowing reason. All patients did not have tumor recurrence after surgery following up more than one year. Conclusion Labial
mucosa is an ideal substitute in eyelid reconstruction surgery. Labial mucosa-orbital flap transplantation is a reliable clinical
method in reconstruction of moderate to severe full-thickness eyelid defect. The key points of successful surgery are closely
related to personalized design and operational skill.

相似文献/References:

[1]. 埋线美容专栏[J].中国美容医学,2018,(01):0.
　[J].Medical Aesthetics and Beauty,2018,(11):0.
[2]杨 震. 应用透明质酸颏部填充联合A型肉毒毒素咬肌注射重塑面部下1/3轮廓的效果观察[J].中国美容医学,2018,(03):1.
　YANG Zhen. Effect of Hyaluronic Acid Chin Filling Combined with Botulinum Toxin Type A Masseter Muscle Injection to Reconstruct the Facial Contour of the Lower 1/3[J].Medical Aesthetics and Beauty,2018,(11):1.
[3]祝闽辉,张栋梁,叶祥柏,等. 皮肤软组织扩张术埋置注液期并发症危险因素研究[J].中国美容医学,2018,(03):4.
　ZHU Min-hui,ZHANG Dong-liang,YE Xiang-bo,et al. Risk Factors of Complications after Tissue Expasion[J].Medical Aesthetics and Beauty,2018,(11):4.
[4]刘申松,杨永成. 自体脂肪颗粒移植联合假体隆乳术在哺乳后乳腺萎缩整形术中的应用[J].中国美容医学,2018,(03):9.
　LIU Shen-song,YANG Yong-cheng. Application of Autologous Fat Granule Graft Combined with Prosthesis Combined Augmentation Mammoplasty in Breast Reconstruction of Breast Atrophy Patients after Breast-feeding[J].Medical Aesthetics and Beauty,2018,(11):9.
[5]韩 星,胡守舵,陈晓芳,等.自体脂肪颗粒移植促进手部年轻化的临床观察[J].中国美容医学,2018,(03):12.
　HAN Xing,HU Shou-duo,CHEN Xiao-fang,et al. The Effect of Autologous Fat Grafting in Hand Rejuvenation[J].Medical Aesthetics and Beauty,2018,(11):12.
[6]李胜旭,苏映军,杨 宽,等. 封闭负压引流技术在先天性并指分指植皮术中的应用[J].中国美容医学,2018,(03):15.
　LI Sheng-xu,SU Ying-jun,YANG Kuan,et al. Application of Vacuum Sealing Drainage for Skin Graft in Patients with Congenital Syndactyly of the Hand[J].Medical Aesthetics and Beauty,2018,(11):15.
[7]陈 波,路 会,马 力,等. 钝针皮下层扇形注射透明质酸矫正面颊部凹陷[J].中国美容医学,2018,(03):18.
　CHEN Bo,LU Hui,MA Li,et al. Correction of Cheek Depression by Fanshaped Hyaluronic Acid Injection in Subcutaneous Layers with Blunt Needle[J].Medical Aesthetics and Beauty,2018,(11):18.
[8]曾德斌,栗鹏程,邱勋永,等. 不同超薄游离穿支皮瓣修复手部软组织缺损效果比较[J].中国美容医学,2018,(03):21.
　ZENG De-bin,LI Peng-cheng,QIU Xun-yong,et al. Comparison on the Repair Effect of Different Ultrathin Free Perforator Flaps in the Treatment of Patients with Soft Tissue Defect of Hand[J].Medical Aesthetics and Beauty,2018,(11):21.
[9]程 定,崔树英,郑 乐,等. 改道引流联合VSD技术修复会阴部撕裂伤的临床研究[J].中国美容医学,2018,(03):24.
　CHENG Ding,CUI Shu-ying,ZHENG Le,et al. Clinical Study on Diverted Drainage Combined with Vacuum Sealing Drainage Technique to Repair the Laceration of the Perineum[J].Medical Aesthetics and Beauty,2018,(11):24.
[10]李云峰,吴泽勇,黄海华,等. 全厚皮片游离移植矫治儿童足背瘢痕挛缩畸形[J].中国美容医学,2018,(03):27.
　LI Yun-feng,WU Ze-yong,HUANG Hai-hua,et al. Full-thickness Skin Graft for the Treatment of Cicatricial Contracture of the Dorsum of Foot in Children[J].Medical Aesthetics and Beauty,2018,(11):27.

更新日期/Last Update: 2019-12-09