中国麻风皮肤病杂志 ›› 2018, Vol. 34 ›› Issue (12): 731-732.

• 短篇论著 • 上一篇    下一篇

应用局部皮瓣修复内眦皮肤小面积缺损11例

杨汝斌 杨成林 王敏华 黄玲   

  1. 大理大学附属医院皮肤科, 云南大理,671000
  • 出版日期:2018-12-13 发布日期:2018-12-14
  • 通讯作者: 杨汝斌，E-mail:y-rubin2008@163.com

Reconstruction of medial canthal skin defects with local flaps：report of 11 cases

YANG Rubin, YANG Chenglin, WANG Minhua, HUANG Lin   

  1. Dermatology Department, Dali University Affiliated Hospital, Dali 671000, China
  • Online:2018-12-13 Published:2018-12-14
  • Contact: YANG Rubin,E-mail:y-rubin2008@163.com

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摘要： 目的: 评价应用局部皮瓣修复内眦缺损的效果。方法: 使用局部皮瓣修复内眦部皮肤缺损11例，创面面积约l .2cm×1.2cm～1.8 cm×2..5cm。根据创面的位置及大小，分别选择眉间皮瓣、菱形皮瓣、风筝皮瓣或联合使用两种局部皮瓣等方法进行修复。结果: 11例患者皮瓣均成活，术后随访10个月至3年，其外观形态良好，效果满意，肿瘤无复发。结论：修复内眦部皮肤缺损时，如果能选取合适的局部皮瓣，并注意保持和恢复内眦美容单位的完整性，可取得良好的形态与功能效果。

关键词: 局部皮瓣, 内眦, 缺损

Abstract: Objective: To assess the effects of reconstruction of medial canthal defects with local flaps．Methods: 11 cases with medial canthal defects were treated with local skin flap．The defect area was varied from 1.2cm×1.2cm to1.8cm×2.5cm．According to the size and location of the defects，difierent loeal flaps such as glabellar flaps，rhomboid skin flap ,subcutaneous "kite" flap and combination of these local flaps were selected and designed to repair the skin defects. Results: After 10 months to 3 years follow up ,all the flaps survived with satisfactory esthetic results and no tumor recurrence occurred. Conclusions: Suitable local flaps with maintaining and restoring the cosmetic unit integrity of inner canthus can lead to a satisfied restoration of function and appearance.

Key words: local flaps, medial canthus, defects