Efficacy and safety of perforator flap eyelid reconstruction surgery on eyelid repair and reconstruction of patients who underwent eyelid tumor surgery
10.13389/j.cnki.rao.2024.0024
- VernacularTitle:穿支皮瓣眼睑重建术对眼睑肿瘤术后患者眼睑修复和重建的疗效和安全性
- Author:
Hongbin ZHANG
1
;
Xiaotian ZHAO
;
Xuling WANG
;
Jianwei YANG
;
Runhui PANG
;
Ping BAI
Author Information
1. 054000 河北省邢台市,河北省眼科医院(河北省眼科研究所)眼整形泪器科
- Keywords:
perforator flap;
eyelid reconstruction surgery;
eyelid tumor;
clinical efficacy;
safety
- From:
Recent Advances in Ophthalmology
2024;44(2):123-126
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy and safety of perforator flap eyelid reconstruction surgery for eyelid repair and reconstruction in patients with eyelid tumors after surgery.Methods Totally 80 patients(80 eyes)who re-ceived eyelid tumor surgery and planned to undergo the perforator flap eyelid reconstruction surgery in our hospital from January 2012 to December 2022 were included.All of them have early-stage and mid-stage eyelid tumors with no orbital or systemic metastasis.A perforator flap eyelid reconstruction surgery was conducted to treat the eyelid defects.The differ-ence in height and length of the palpebral fissure,aesthetic function scores and levels of depression and anxiety of patients before and after repair were compared;the clinical efficacy,adverse reactions and prognosis of patients were evaluated.Results Among the 80 eyes,there were 35 eyes with significant effect,35 eyes with effective impact,and 10 eyes with no effect,with a total effective rate of 87.5％.The height and length of palpebral fissure of patients after repair were(1.49±0.47)mm and(1.43±0.55)mm,respectively,which were significantly lower than those before repair[(2.55± 0.35)mm and(2.38±0.49)mm](both P＜0.01).The aesthetic function score before repair was 0.91±0.23,and that after repair was 1.87±0.19,with a significant difference(P＜0.01).The scores of the Self-rating Anxiety Scale and Self-rating Depression Scale after repair were 40.14±6.54 and 39.45±7.65,respectively,which were significantly lower than those before repair(59.56±8.23 and 57.93±8.19)(both P＜0.01).Among the 80 patients,the total incidence of compli-cations was 27.5％(22/80).All patients were followed up for 6-36 months,with an average follow-up time of(12.39± 6.17)months.No tumor recurrence was found during the follow-up.All composite flaps survived without infection,necro-sis or displacement.Conclusion The perforator flap eyelid reconstruction surgery has a good and safe therapeutic effect on repairing full-layer eyelid defects in patients who underwent eyelid tumor surgery.
