Repair of eyelid full defect with composite flap pedicled with arterial arch of palpebral margin
- VernacularTitle:眼睑复合组织瓣修复眼睑全层缺损
- Author:
Tianlan ZHAO
;
Xinde CHENG
;
Guangzao LI
- Publication Type:Journal Article
- Keywords:
Coloboma;
Eyelids;
Surgical flaps
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2002;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the method of repairing moderate or severe full defect of eyelid. Methods According to eyelid structure and the defect size, the two composite eyelid flaps were designed beside defect based on the arterial arch of the palpebral margins. If the defective area was too large, the lateral composite flap may be extended to lower or upper eyelid at the outer canthus, then the two flaps were propelled to the defective region to repair it. Results Eleven patients had been cured with this method since 1998. The largest length of eyelid defect was 1.7cm, and the smallest was 0.8cm. All defects exceeded 1/3 length of the upper or lower eyelid. All composite flaps survived completely without any complication. The appearance of the repaired eyelid was satisfactory. Conclusion Using the composite flap to repair the full moderate or severe full defect of eyelid is a new and effective method. It can not only provide enough tissues to repair large full defect of the upper or lower eyelid and to restore normal anatomical structure and appearance of the eyelid, but also is easy to be operated without severe secondary deformities, and the blood supply of the composite flap is reliable. The method is worth employing routinely.
