Forehead flap combined with tarsalconjunctival flaps in the reconstruction of widely full-thickness defect of lower eyelid
10.3760/cma.j.cnZHZXWKZZ-2018-1114-00458
- VernacularTitle:额部皮瓣联合睑板结膜瓣在下睑广泛全层缺损修复中的应用
- Author:
Shuo FANG
1
;
Weiye ZHU
;
Weiya TANG
;
Yong CHEN
;
Jialing LI
;
Xin XING
;
Chao YANG
Author Information
1. 全军整形外科中心，海军军医大学附属长海医院整形外科，上海 200433
- Keywords:
Eyelid defect;
Forehead flap;
Tarsoconjunctival flap
- From:
Chinese Journal of Plastic Surgery
2020;36(7):788-791
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the application and effect of frontal flap combined with tarsalconjunctiva flap in the repair of widely full-thickness defects of the lower eyelid.Methods:From January 2016 to March 2018, 9 patients with extensive full-thickness lower eyelid defect were admitted to the Plastic Surgery Department of Changhai Hospital Affiliated to the Naval Military Medical University. All the lengths of lower eyelid defects were greater than a half of the full length. Then we designed forehead flaps combined with tarsalconjunctival flaps to cover the wounds. The second stage operation was done after 4-6 weeks to cut the pedicle and dress the eyelid.Results:All the frontal flaps of 9 patients survived. One patient had lower eyelid retraction and the lid position returned to normal half a year later. One underwent thinning surgery because of lower eyelid flap hypertrophy and one were because of pedicle hypertrophy. The appearance and function of other patients were greatly improved after surgery, and they were satisfied with the operation effect. No repair operation was performed in the future.Conclusions:The frontal flap with good quality of blood supply has a high survival rate and can be used to repair the wide defect of the lower eyelid with tarsalconjunctival flaps.
