Sliding Flap for the Wide Upper Eyelid Margin Defect After Cancer Removal
Sliding Flap for the Wide Upper Eyelid Margin Defect After Cancer Removal
复制标题
滑动皮瓣治疗癌症切除后宽阔的上眼睑边缘缺损
DOI：
10.1097/scs.0000000000008584
复制
发表时间：
2022
影响因子：
0.9
通讯作者：
Hayashi Ayato
中科院分区：
文献类型：
--
作者：
Mizobuchi Ryo;Nojiri Gaku;Uchiyama Mizuki;Shimizu Azusa;Kamimori Tomoki;Hayashi Ayato
背景：上眼睑皮肤恶性肿瘤切除后眼睑边缘缺损的重建通常使用下眼睑翻转皮瓣进行，包括睫毛重建。然而，随后的程序皮瓣分离，和长期肿胀的皮瓣可能会发生作为complication.Objective：作者进行了前板层重建使用滑动皮瓣多余的上睑皮肤，一个程序，是一个侵入性小，simpler.Materials和方法：作者进行了前板层重建使用滑动皮瓣在7例皮肤癌切除术后全层上睑缘缺损。患者的平均年龄为76.0岁。缺损的水平宽度范围为11 ~ 25 mm，垂直宽度范围为5 ~ 10 mm。结果：所有皮瓣和粘膜移植物均获得良好的效果，无一例患者主诉睫毛重建不足。然而，眼睑边缘不规则，可能是由于皮瓣或粘膜移植收缩，观察2例，和1例患者发展角结膜炎。结论：滑动皮瓣技术是一种微创和简单的程序广泛的眼睑边缘重建。然而，2名患者出现眼睑边缘不规则，1名患者出现角结膜炎。这些并发症的发生可能是由于后板重建的条件。因此，对于成功使用滑动皮瓣进行前板层重建，眼睑边缘的形状和后板层重建的选择是关键的考虑因素。在未来，我们计划建立一个更好的重建技术，通过积累更多的证据。
Background:Reconstruction of eyelid margin defects following resection of upper-eyelid skin malignancies is typically performed using a lower eyelid switch flap, including eyelash reconstruction. However, a subsequent procedure for flap separation, and prolonged swelling of the flap may occur as a complication.Objective:The authors performed anterior lamellar reconstruction using a sliding flap with excess upper eyelid skin, a procedure that is a less invasive and simpler.Materials and Methods:The authors performed anterior lamellar reconstruction using a sliding flap in 7 patients with full-thickness upper eyelid margin defect after skin cancer resection. The mean age of the patients was 76.0 years. The horizontal width of the defect in our cohort ranged from 11 to 25 mm and the vertical width ranged from 5 to 10 mm.Results:All the flaps and mucosal grafts were well taken, and none of the patients complained of lack of eyelash reconstruction. However, eyelid margin irregularity, possibly due to flap or mucosal graft contraction, was observed in 2 patients, and 1 patient developed keratoconjunctivitis.Conclusions:The sliding flap technique is a minimally invasive and simple procedure for wide eyelid margin reconstruction. However, 2 patients developed eyelid margin irregularities and 1 patient developed keratoconjunctivitis. Those complications might have occurred owing to the condition of posterior lamellar reconstruction. Therefore, for the successful use of a sliding flap for anterior lamellar reconstruction, the form of the eyelid edge and the choice of posterior lamellar reconstruction are key considerations. In future, we plan to establish a better reconstructive technique by accumulating more evidence.