摘要
目的探讨采用改良风筝皮瓣修复外眦分裂痣切除后皮肤软组织缺损的疗效。方法 2010年10月-2018年4月,收治20例(20眼)外眦分裂痣患儿。男13例,女7例;年龄4~14岁,平均7.9岁。中度范围病变(最大直径1.5~2.0 cm)11例、小范围病变(<1.5 cm)9例。外眦分裂痣切除后,遗留皮肤软组织缺损面积0.72~3.23 cm2。切取改良风筝皮瓣修复缺损,重建外眦结构与形态。结果病理检查显示混合痣16例、皮内痣4例。术后皮瓣均成活,切口Ⅰ期愈合。患儿均获随访,随访时间12~22个月,平均13.6个月。外眦无畸形、外翻,无暴露性角膜炎发生,瘢痕形成不明显,随访期间无恶变和复发。末次随访时,疗效评价为优16例、良3例、差1例。结论改良风筝皮瓣修复外眦分裂痣切除后皮肤软组织缺损,外眦外观及功能均恢复较好。
Objective To investigate the effectiveness of modified kite flap in repair of soft tissue defect after divided nevus of lateral canthus excision. Methods Between October 2010 and April 2018, 20 children(20 eyes) with divided nevus of lateral canthus were admitted. There were 13 boys and 7 girls, with an average age of 7.9 years(mean, 4-14 years). There were 11 cases of moderate range lesions(maximum diameter, 1.5-2.0 cm) and 9 cases of small range lesions(maximum diameter, <1.5 cm). After excising the divided nevus of lateral canthus, the area of soft tissue defect ranged from 0.72 to 3.23 cm^2.The modified kite flap was used to reconstruct the structure and shape of lateral canthus.Results There were 16 cases of mixed nevus and 4 cases of intradermal nevus. The flaps survived and the incisions healed by the first intention. The patients were followed up 12-22 months(mean, 13.6 months). There was no malformation,valgus, exposure keratitis, or obvious scar. No malignant transformation occurred or nevus recurred during follow-up. At last follow-up, the effectiveness was rated as excellent in 16 cases, good in 3 cases, and poor in 1 case. Conclusion The modified kite flap can repair the soft tissue defect after excising the divided nevus of lateral canthus, and obtain the good appearance and function of lateral canthus.
作者
盛淑文
文辉才
黄进军
付建华
卢颖洁
廖怀伟
涂峻
SHENG Shuwen;WEN Huicai;HUANG Jinjun;FU Jianhua;LU Yingjie;LIAO Huaiwei;TU Jun(Department of Plastic Surgery,the First Affiliated Hospital ofNanchang University,Nanchang Jiangxi,330006,P.R.China)
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2019年第12期1556-1559,共4页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
外眦分裂痣
改良风筝皮瓣
外眦重建
美容修复
Divided nevus of lateral canthus
modified kite flap
lateral canthus reconstruction
cosmetic repair
