PDF(Pubmed)
Abstract：
BACKGROUND: The medial canthal region features a complex three-dimensional and internal anatomical structure. When reconstructing a defect in this area, it is crucial to consider both functional and aesthetic aspects, which presents significant challenges. Generally, local flaps are preferred for reconstruction; however, skin grafts can be used when local flaps are not feasible. Therefore, we conducted a comparative analysis of surgical outcomes skin grafts when local flaps were not feasible, to determine which surgical method is more effective for medial canthal region reconstruction.
METHODS: Twenty-five patients who underwent medial canthal region reconstruction using skin grafts or local flaps from 2002 to 2021 were enrolled. Patient information was obtained from medical records. Five plastic surgeons evaluated the surgical outcomes based on general appearance, color, contour, and symmetry.
RESULTS: Skin grafts were used in eight patients and local flaps were used in 13. Combined reconstructions were employed in four cases. Minor complications arose in four cases but improved with conservative treatment. No major complications were reported. Recurrence of the skin cancer was noted in two cases. All categories showed higher scores for the local flap compared to both skin graft and combined reconstruction; however, the differences were not statistically significant respectively.
CONCLUSIONS: The choice of appropriate surgical methods for reconstructing defects in the medial canthal region depends on various factors, including the patient\'s overall health, the size and depth of the defect, and the degree of involvement of surrounding structures. When a local flap is not feasible, a skin graft may provide favorable surgical outcomes. Therefore, a skin graft can serve as a viable alternative for reconstructing the medial canthal region.
METHODS: Twenty-five patients who underwent medial canthal region reconstruction using skin grafts or local flaps from 2002 to 2021 were enrolled. Patient information was obtained from medical records. Five plastic surgeons evaluated the surgical outcomes based on general appearance, color, contour, and symmetry.
RESULTS: Skin grafts were used in eight patients and local flaps were used in 13. Combined reconstructions were employed in four cases. Minor complications arose in four cases but improved with conservative treatment. No major complications were reported. Recurrence of the skin cancer was noted in two cases. All categories showed higher scores for the local flap compared to both skin graft and combined reconstruction; however, the differences were not statistically significant respectively.
CONCLUSIONS: The choice of appropriate surgical methods for reconstructing defects in the medial canthal region depends on various factors, including the patient\'s overall health, the size and depth of the defect, and the degree of involvement of surrounding structures. When a local flap is not feasible, a skin graft may provide favorable surgical outcomes. Therefore, a skin graft can serve as a viable alternative for reconstructing the medial canthal region.
摘要：
背景：内侧can区具有复杂的三维和内部解剖结构。当重建这个区域的缺陷时，至关重要的是要同时考虑功能和美学方面，这带来了重大挑战。一般来说,局部皮瓣是重建的首选；然而，当局部皮瓣不可行时，可以使用皮肤移植物。因此,当局部皮瓣不可行时，我们对皮肤移植的手术结果进行了比较分析，以确定哪种手术方法更有效地重建内侧can区。
方法：从2002年到2021年，25例患者使用皮肤移植或局部皮瓣进行了内侧can区重建。患者信息来自医疗记录。五名整形外科医生根据总体外观评估了手术结果，颜色,轮廓,和对称性。
结果：8例患者使用皮肤移植，13例患者使用局部皮瓣。在四种情况下采用了组合重建。4例出现轻微并发症，但保守治疗有所改善。无重大并发症报告。在两个病例中发现皮肤癌复发。与皮肤移植和联合重建相比，所有类别的局部皮瓣得分均较高；但是，差异无统计学意义。
结论：选择合适的手术方法来重建内侧can区域的缺损取决于各种因素，包括病人的整体健康状况,缺陷的大小和深度，以及周围结构的参与程度。当局部皮瓣不可行时，皮肤移植可能提供良好的手术效果.因此,皮肤移植物可以作为重建内侧cal区的可行替代方案。
方法：从2002年到2021年，25例患者使用皮肤移植或局部皮瓣进行了内侧can区重建。患者信息来自医疗记录。五名整形外科医生根据总体外观评估了手术结果，颜色,轮廓,和对称性。
结果：8例患者使用皮肤移植，13例患者使用局部皮瓣。在四种情况下采用了组合重建。4例出现轻微并发症，但保守治疗有所改善。无重大并发症报告。在两个病例中发现皮肤癌复发。与皮肤移植和联合重建相比，所有类别的局部皮瓣得分均较高；但是，差异无统计学意义。
结论：选择合适的手术方法来重建内侧can区域的缺损取决于各种因素，包括病人的整体健康状况,缺陷的大小和深度，以及周围结构的参与程度。当局部皮瓣不可行时，皮肤移植可能提供良好的手术效果.因此,皮肤移植物可以作为重建内侧cal区的可行替代方案。
