功能性重建下眼使用前额侧侧结合前额肌肉和骨周骨的下眼
Riku Katayama1,2, Takako Fujii2, Chie Kanayama2,3
1Department of Plastic and Reconstructive Surgery, Shizuoka Cancer Center, Shizuoka, Japan.
Archives of plastic surgery
|May 19, 2025
概括
这项研究提出了两阶段的下眼重建,使用一个参数中位的额叶. 该技术成功地恢复了美容和功能方面,包括 orbicularis oculi 肌肉功能,在基底细胞癌移除后.
科学领域:
- 整形外科 整形外科 整形外科
- 眼科医生 眼科 眼科
- 皮肤外科手术皮肤外科手术
背景情况:
- 重建下眼缺陷需要解决美学和功能方面的问题.
- 涉及orbicularis oculi肌肉的缺陷带来了独特的重建挑战.
- 基底细胞癌的切除可以导致明显的下眼组织损失.
研究的目的:
- 描述一种用于下眼重建的新两阶段外科手术技术.
- 评估这个重建方法的功能和美容结果.
- 评估转移前额肌肉的神经化和自愿收缩情况.
主要方法:
- 一个两阶段的重建,利用一个中位数的额头,结合额头肌和周骨.
- 第1阶段涉及片升高,眼升起的周骨固定,以及最初的皮肤片关闭.
- 第二阶段包括片分裂和前额肌片解剖到中侧眼皮带.
主要成果:
- 成功地重建了涉及orbicularis oculi肌肉的水平皮肤缺陷.
- 术后1年,肌电图证实了肌肉神经化的发生.
- 在眼关闭期间观察到6个月的自愿肌肉收缩.
结论:
- 与前额肌肉和骨周结合的前额中间是一个可行的选择,用于下眼的重建.
- 这种技术有效地恢复了化品外观和功能性orbicularis oculi肌肉活动.
- 描述的方法为复杂的下眼缺陷提供了一个有希望的解决方案.
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