Facial artery perforator flap in repairing lower eyelid cicatricial ectropion
10.3760/cma.j.cn114453-20201219-00635
- VernacularTitle:面动脉穿支皮瓣修复瘢痕性下睑外翻
- Author:
Xue WEI
1
;
Peng HU
;
Jian ZHOU
;
Zairong WEI
;
Guijia HE
;
Shujun LI
;
Wei CHEN
;
Kaiyu NIE
Author Information
1. 遵义医科大学附属医院烧伤整形外科 563003
- Keywords:
Ectropion;
Cicatrix;
Arteries;
Face;
Perforator flap
- From:
Chinese Journal of Plastic Surgery
2021;37(4):399-404
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effect of the facial artery perforator flap in repairing the lower eyelid cicatricial ectropion.Methods:The clinical data of patients with lower eyelid cicatricial ectropion admitted to the Department of Burn and Plastic Surgery, Affiliated Hospital of Zunyi Medical University from January 2016 to December 2019 were retrospectively analyzed. After the lower eyelid scar was removed and contracture was released, the facial artery perforator flap was designed to repair the skin defect, and the donor site was sutured directly. The appearance and complications of the recipient and donor sites were followed up after the operation, and the operation effect was evaluated as good, general and poor.Results:A total of 22 patients with lower eyelid cicatricial ectropion were enrolled, including 15 males and 7 females, with an average age of 35.2 years (range, 27-68 years). The area of skin defect after scar release was 3.0 cm×1.5 cm-4.0 cm×2.0 cm, and the area of skin flap was 3.1 cm×1.6 cm-4.1 cm×2.1 cm. All flaps survived with good blood supply and healed well. All patients were followed up for 6-48 months, and there was no recurrence of lower eyelid ectropion, blepharon separation, local pigmentation and other phenomena. All patients showed good anatomical structure and functional improvement, and the postoperative effect evaluation of all cases was good.Conclusions:The facial artery perforator flap has the advantages of the stable perforator, good blood supply, flexible rotation, close position with the lower eyelid, and similar color, texture, and thickness. Good result can be obtained in repairing lower eyelid cicatricial ectropion by using a facial artery perforator flap.
