目的 探讨应用眶区眼轮匝肌蒂岛状皮瓣修复眶周皮肤全层缺损的方法与手术技巧。方法 根据缺损的部位、形态及面积，分别应用以上、下眶区眼轮匝肌内侧为蒂的岛状皮瓣修复眶周的皮肤缺损，供区直接缝合。结果 2003年7月至2009年10月，应用上述方法共修复24例，除l例术后皮瓣远端部分坏死，经换药愈合，2例皮瓣表皮坏死未行处理，自行愈合外，其余皮瓣均成活良好。随访6 ～ 24个月，所有皮瓣色泽、质地均良好，与周围组织无明显差别，供区瘢痕不明显，外形满意。结论选择以眼轮匝肌眶部内侧为蒂的岛状皮瓣一期修复眶周皮肤缺损，血供良好，供区隐蔽，术后效果满意。%Objective To investigate the technique of periorbital defects reconstruction with island orbicularis oculi myocutaneous flap in orbital zone. Methods The upper or lower eyelid island orbicularis oculi myocutaneous flap, medially based, were used for the defects of the periorbital area, according to the position, shape and size of the defects. The donor site was closed directly. Results From July 2003 to October 2009,24 patients were treated in this method, the flaps survived totally. The flap proved to be flexible, safe, relatively simple, and provided good functional and aesthetic results with follow up 6 to 24months. Complications were minimal. Conclusions The upper eyelid or lower eyelid island orbicularis oculi myocutaneous flap , medially based, is a satisfied method in repairing periorbital defects in one stage with good blood supply , excellent color texture matching and inconspicuous donor scar and deformity.
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