Effects of repair for defect after xanthelasma removal with a orbicularis oculi myocutaneous flap by converse shift grafting
10.3760/cma.j.issn.1671-0290.2023.01.009
- VernacularTitle:上睑成形术联合眼轮匝肌蒂皮瓣逆转修复睑黄瘤后内眦缺损的效果
- Author:
Hua NAN
1
;
Yang ZHAO
;
Hailong LUAN
Author Information
1. 广州医科大学附属第五医院医疗美容科，广州 510700
- Keywords:
Xanthelasma;
Reconstructive surgical procedures;
Flap;
Orbicularis oculi musculocutaneous flap;
Blepharoplasty
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2023;29(1):33-35
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the method and effect of blepharoplasty of upper eyelid combined with orbicularis oculi myocutaneous flap in repair of the canthus defect after excision of xanthelasma.Methods:According to the relaxation of the upper eyelid skin and the width of the xanthoma to be removed, the double eyelid line and the peeling line were designed individually, and the myocutaneous flap was removed to repair the inner canthus defect. After resection of the xanthelasma, the orbicularis oculi myocutaneous flap was transferred retrogradely to repair the defect, and then the upper eyelid plasty was performed.Results:During the follow-up of 3-12 months after operation, 13 cases (24 eyes) of the transferred flaps in the inner canthus survived well, the incision scars were hidden, and the double eyelids on both sides were naturally symmetrical.Conclusions:The method of upper eyelid plasty combined with the reverse transfer of orbicularis oculi myocutaneous flap provides more options for the treatment of defects after resection of xanthoma of the inner canthus. The flap survives well, improves the shape of the upper eyelid while completely removing the focus, and avoids complications such as postoperative deformation and obvious scars.
