目的 观察风筝皮瓣在修复眼睑黄色瘤切除后所致的眼睑皮肤缺损中的临床应用。 方法 收集2016~2018年在我院就诊面积>5 mm2的32例眼睑黄色瘤手术患者资料，手术切除后，于缺损周围皮肤松弛部位沿皮纹方向设计风筝皮瓣，按设计线切开皮肤，在眼轮匝肌下剥离形成以眼轮匝肌为蒂的风筝皮瓣，置于皮肤缺损区，用6-0丝线缝合切口。 结果 皮瓣全部成活，切口Ⅰ期愈合，随访时间3个月至2年，眼睑外形双侧对称，切口瘢痕不明显。 结论 对于眼睑较大黄色瘤切除后直接缝合会导致眼睑畸形的眼睑皮肤缺损，应用风筝皮瓣进行修复简单易行，效果可靠，手术后恢复时间短，具有取材方便、便于推广等优点。 Objective To observe the the clinical application of xanthelasma palpebrarum with kite flap. Methods The clinical data of 32 cases of xanthelasma palpebrarum which area>5mm2 in our hospital from 2016-2018 were analyzed, After surgical removal of the xanthelasma palpebrarum, we release the surrounding skin around the coloboma and design the kite flap accoding with dermatoglyph direction. Under the orbicularis oculi muscle strip forming with the kite flap pedicled with orbicularis oculi muscle, skin defect area, incise the skin according to the design line. formed under the orbicularis oculi muscle strip with the kite flap pedicled with orbicularis oculi muscle, placed in the skin defect area, with a 6-0 silk suture of incision. Results Flap I healing, followed up for 3 months to 2 years, eyelid shape bilateral symmetry, incision scar is not obvious. Conclusions For larger xanthelasma palpebrarum excision, direct suture can cause eyelid deformity, so we can use the kite flap repair of eyelid defect, .The method is simple, reliable effect, short recovery time after the surgery, has convenient use, easy to promote.
The clinical observation of treatment of xanthelasma palpebrarum with kite flap
Objective To observe the the clinical application of xanthelasma palpebrarum with kite flap. Methods The clinical data of 32 cases of xanthelasma palpebrarum which area>5mm2 in our hospital from 2016-2018 were analyzed, After surgical removal of the xanthelasma palpebrarum, we release the surrounding skin around the coloboma and design the kite flap accoding with dermatoglyph direction. Under the orbicularis oculi muscle strip forming with the kite flap pedicled with orbicularis oculi muscle, skin defect area, incise the skin according to the design line. formed under the orbicularis oculi muscle strip with the kite flap pedicled with orbicularis oculi muscle, placed in the skin defect area, with a 6-0 silk suture of incision. Results Flap I healing, followed up for 3 months to 2 years, eyelid shape bilateral symmetry, incision scar is not obvious. Conclusions For larger xanthelasma palpebrarum excision, direct suture can cause eyelid deformity, so we can use the kite flap repair of eyelid defect, .The method is simple, reliable effect, short recovery time after the surgery, has convenient use, easy to promote.
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