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目的 探索符合美学要求的睑外翻修复方法。方法 用上睑或下睑的眼轮匝肌肌皮瓣 ,行上睑或下睑睑外翻的相互修复 ,并兼顾重睑成形和睑袋整复术。结果 自 1994年 1月至 2 0 0 1年 1月共行睑外翻修复 2 4例 ,随访 19例 ,时间 3周至 2年 ,除 1例肌皮瓣曾出现部分坏死外 ,其余均获满意效果。结论 眼轮匝肌肌皮瓣因血运丰富 ,其长宽比可达 6∶1,可行较大幅度的修剪 ,且移转灵活 ,供区切口隐蔽。术后眼睑不仅得到功能性矫正 ,而且具有良好的美学效果。
Objective To explore the eyelid repair method in line with the aesthetic requirements. Methods The upper or lower eyelid orbicularis muscle flap was used to repair the upper eyelid or the lower eyelid valgus and to reconstruct the double eyelid and the eyelid pouch. Results From January 1994 to January 2001, a total of 24 eyelid reconstructions were performed. Nineteen patients were followed up for 3 weeks to 2 years. Except one case of myocutaneous flap, partial necrosis was found, and the rest were satisfactory effect. Conclusion The orbicularis oculi musculocutaneous flap is rich in blood supply and has an aspect ratio of up to 6: 1. Postoperative eyelids are not only functional correction, but also has a good aesthetic effect.