Reconstruction of upper and lower eyelid defect with hard palate mucoperiosteal flap transplant joint zygomatic-buccal perforator flap
10.3760/cma.j.cn114453-20200519-00301
- VernacularTitle:硬腭黏骨膜瓣移植联合颧颊侧穿支血管皮瓣修复眼睑缺损二例
- Author:
Xi LI
1
;
Yawei BAO
;
Xinyi LI
;
Jinlong NING
;
Xiaojing LI
Author Information
1. 安徽医科大学第一附属医院整形外科，合肥 230022
- Keywords:
Hard palatal mucoperiosteum transplantation;
Zygomati-buccal perforator flap;
Eyelid defects
- From:
Chinese Journal of Plastic Surgery
2020;36(10):1152-1155
- CountryChina
- Language:Chinese
-
Abstract:
Two patients with eyelid defect were admitted to the Department of Plastic Surgery of the First Affiliated Hospital of Anhui Medical University.Case 1 was a 45-year-old male with full layer eyelid defect after operation of lower eyelid pigment basal cell carcinoma. And case 2, male, 84 years old, had full eyelid defect after operation of recurrent basal cell carcinoma. A 3.0 cm×3.5 cm mucoperiosteal composite flap was designed in the longitudinal radian of the anterior and posterior palatal respectively. The flap was cut obtuse and sharp under the periosteum, and trimmed according to the shape of the eyelid defect. The flap was transplanted to the defect area of the posterior layer to replace the tarsus, palpebral and bulbar conjunctiva. The superficial outlet point of the zygomatic orbital-buccal lateral perforator vessels was explored before surgery, and the perforator flap was designed. The length and width of the flap were adjusted according to the eyelid defect during surgery, and the pedicle fascia perforator vessels were retained. The lower eyelid was 90°, and the upper eyelid was transferred nearly 100° to cover the outer skin and soft tissue defects of the upper and lower eyelids. The perforator flap was completely survived 9-12 days after the operation. After 8 months to 2 years and 8 months of follow-up, the upper and lower eyelid function and appearance were good, the original vision was maintained, and the cancer did not recur.
