摘要
目的探讨上睑外侧皮片移植联合重睑成形术在治疗巨大睑黄瘤伴严重上睑松弛患者中的应用效果。方法距上睑缘5-6mm处设计重睑下线，与外侧鱼尾纹自然延续；根据上睑皮肤松弛程度设计需切除皮肤的宽度，画出重睑上线；去除两线之间的皮肤，利用外侧正常皮肤修补内侧睑黄瘤切除后的缺损。在超出瘤体边界1mm处标出切除范围，再于拟切除的松弛皮肤内画出与睑黄瘤切除区域的形状、面积接近或略小的待移植皮肤区。沿标志线切除睑黄瘤和上睑松弛皮肤，将切除的皮肤沿标志线修制成全厚皮片，移植于睑黄瘤切除后皮肤缺损处，打包加压，最后按常规缝合法行重睑成形术。结果临床应用8例（15侧）患者，上睑黄色瘤面积最大为15mmX23mm，最小为5mm×14mm。随访3个月至2年，皮片成活良好，重睑形态自然。结论松弛的上睑皮肤是中老年患者理想的皮肤供区，可用于上、下眼睑及其周围皮肤缺损的修复。应用于巨大睑黄色瘤特别是跨重睑线者的治疗，具有色泽、质地相近，不影响重睑外形，无须其他皮肤供区，治疗周期短，复发率低的优点。
Objective To evaluate the effect of lateral upper-eyelid skin graft and reconstruction of double eyelid on the treatment of defect from great xanthelasma crossing double eyelid. Methods The lower incision of the new double eyelid was designed at 5 to 6 mm far away from upper-eyelid rim, naturally connecting with the crow＇s-feet. The upper incision of the new double eyelid was according to the lax degree of upper-eyelids. The skin between the new lower and upper incisions was removed, and lateral normal skin was used to repair the de- fect from removal of great xanthelasma. The removing scope was marked at 1 mm to the tumor and the same skin according the shape and size of the xanthelasma was taken from the lax skin which would be cut. After removing the xanthelasma and the upper eyelid lax skin along the marking lines, the removed skin was trimmed to full thick skin graft, and then it was transferred to repair the defect, the incision was sutured with pressure. Finally, the reconstruction of double eyelid was performed as usual. Results After 3 months to 2 years follow-up on 8 cases （ 15 sides）, all were satisfied with the natural double eyelids. Conclusion Lax upper-eyelid skin graft is an ide- al skin donor site in the treatment of eyelid and surrounding skin defect of elderly patients with such advantages as similar color and texture, natural double eyelid as well as short treatment cycle and low recurrence.
出处
《中国美容整形外科杂志》
CAS
2012年第1期38-40,共3页
Chinese Journal of Aesthetic and Plastic Surgery
