Abstract：
BACKGROUND: To report our experience with lateral eyelid island flaps for reconstruction of large central and medial full-thickness defects of lower eyelid.
METHODS: Retrospective case series of patients with large central and medial full-thickness lower lid defects repaired with medial transposition of the lateral lower lid combined with a temporal myocutaneous flap. Preoperatively the authors collected demographic data, etiology and percentage of the defects. Postoperatively the lids were assessed for flap viability and lower eyelid margin position and contour.
RESULTS: The sample was comprised of 10 patients (5 females) with a mean of age 60.10 (SD 13.75) years. The defects ranging from 50% to 75% of the lid width resulted from excision of eight basal cell carcinomas, one (10%) malignant schwannoma and one (10%) squamous cell carcinoma. The median follow-up was 1.58 years (IQR 2.58). Flap ischemia was not observed in any eyelid. One mild ectropion was observed in just one lid. All patients were satisfied with the esthetic results.
CONCLUSIONS: Medial transposition of the lateral lower lid island flap combined with horizontal myocutaneous advancement flap is an excellent one-stage procedure that avoids the drawbacks of the two-stages procedures.
METHODS: Retrospective case series of patients with large central and medial full-thickness lower lid defects repaired with medial transposition of the lateral lower lid combined with a temporal myocutaneous flap. Preoperatively the authors collected demographic data, etiology and percentage of the defects. Postoperatively the lids were assessed for flap viability and lower eyelid margin position and contour.
RESULTS: The sample was comprised of 10 patients (5 females) with a mean of age 60.10 (SD 13.75) years. The defects ranging from 50% to 75% of the lid width resulted from excision of eight basal cell carcinomas, one (10%) malignant schwannoma and one (10%) squamous cell carcinoma. The median follow-up was 1.58 years (IQR 2.58). Flap ischemia was not observed in any eyelid. One mild ectropion was observed in just one lid. All patients were satisfied with the esthetic results.
CONCLUSIONS: Medial transposition of the lateral lower lid island flap combined with horizontal myocutaneous advancement flap is an excellent one-stage procedure that avoids the drawbacks of the two-stages procedures.
摘要：
背景：报告我们使用眼睑外侧岛状皮瓣重建下眼睑的大型中央和内侧全层缺损的经验。
方法：回顾性病例系列，患者中央和内侧全厚度下睑缺损，经外侧下睑内侧移位结合颞部肌皮瓣修复。术前作者收集了人口统计数据，缺陷的病因和百分比。术后评估眼睑的皮瓣活力以及下眼睑边缘的位置和轮廓。
结果：样本包括10名患者（5名女性），平均年龄为60.10（SD13.75）岁。眼睑宽度的50％至75％的缺陷是由于切除了八种基底细胞癌所致，一个（10％）恶性神经鞘瘤和一个（10％）鳞状细胞癌。中位随访时间为1.58年（IQR2.58）。在任何眼睑中均未观察到皮瓣缺血。仅在一个盖子中观察到一个轻度外翻。所有患者对美学效果均满意。
结论：外侧下睑岛状皮瓣内侧转位结合水平肌皮肤前移皮瓣是一种出色的一期手术，可避免两阶段手术的缺点。
方法：回顾性病例系列，患者中央和内侧全厚度下睑缺损，经外侧下睑内侧移位结合颞部肌皮瓣修复。术前作者收集了人口统计数据，缺陷的病因和百分比。术后评估眼睑的皮瓣活力以及下眼睑边缘的位置和轮廓。
结果：样本包括10名患者（5名女性），平均年龄为60.10（SD13.75）岁。眼睑宽度的50％至75％的缺陷是由于切除了八种基底细胞癌所致，一个（10％）恶性神经鞘瘤和一个（10％）鳞状细胞癌。中位随访时间为1.58年（IQR2.58）。在任何眼睑中均未观察到皮瓣缺血。仅在一个盖子中观察到一个轻度外翻。所有患者对美学效果均满意。
结论：外侧下睑岛状皮瓣内侧转位结合水平肌皮肤前移皮瓣是一种出色的一期手术，可避免两阶段手术的缺点。
