目的 总结旋股外侧动脉嵌合皮瓣修复老年患者眶周恶性肿瘤切除术后巨大缺损的疗效。方法 2016 年 1 月—2019 年 12 月,收治 13 例眶周恶性肿瘤患者。男 5 例,女 8 例;年龄 65~87 岁,平均 71 岁。鳞癌 5 例,基底细胞癌 4 例,黑色素瘤 4 例。彻底切除肿瘤后,遗留缺损范围为 8.0 cm×6.0 cm~12.5 cm×11.0 cm;创腔深度 4.5~7.0 cm,平均 5.0 cm。采用旋股外侧动脉嵌合皮瓣一期修复缺损,皮瓣切取范围为 9.0 cm×7.0 cm~13.5 cm×12.0 cm,肌瓣切取范围为 5 cm×4 cm×4 cm~8 cm×4 cm×4 cm。供区采用多重减张缝合。结果 术后皮瓣均成活,创面及供区切口均Ⅰ期愈合。患者均获随访,随访时间 10~27 个月,平均 12 个月。眶周外观满意,术区瘢痕隐蔽,皮瓣颜色、质地、厚度与周围正常皮肤相似;供区无明显瘢痕增生。随访期间无肿瘤复发。结论 旋股外侧动脉嵌合皮瓣能修复老年眶周巨大缺损,具有设计灵活、血供丰富、成活率高等优点。
Citation:
何桂佳, 周健, 胡鹏, 李海, 魏在荣, 陈伟, 卫雪, 聂开瑜. 旋股外侧动脉嵌合皮瓣修复老年患者眶周恶性肿瘤切除术后巨大缺损. Chinese Journal of Reparative and Reconstructive Surgery, 2021, 35(11): 1505-1506. doi: 10.7507/1002-1892.202104117
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- 3. Kovacevic P, Djordjevic-Jocic J, Radojkovic M. Lateral frontal galeal-cutaneous flap for reconstruction after orbital exenteration for advanced periorbital skin cancer. Turk J Med Sci, 2021, 51(1): 359-367.
- 4. 田艳明, 高雯, 闫希东, 等. 保留眼球的眶周侵袭性恶性肿瘤切除及修复. 眼科新进展, 2019, 39(11): 1080-1083.
- 5. Balakrishnan TM, Jayachandiran AP, Hariraj DD, et al. Chimeric anterolateral thigh flap for primary functional reconstruction of complex, composite near total hemi facial post excision defects. J Craniofac Surg, 2020, 31(4): e337-e343.
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