穿支岛状皮瓣在面中眶周大、深缺损修复中的作用。

IF 1.2 4区 医学 Q3 OPHTHALMOLOGY
Antonio Augusto Velasco E Cruz, Juliana Albano de Guimarães, Sarah Soares Brassaloti, Roque Souza Lima, Mariana Nadais Aidar
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引用次数: 0

摘要

目的:介绍单院应用穿支岛状皮瓣(pif)修复眶周宽、深缺损的经验。方法:对20例应用PIF修复眼周复杂缺损的病例进行回顾性分析和修正。所有病例均于2018年9月至2024年7月在巴西里贝贝普雷图的圣保罗大学附属大学医院进行手术。收集的数据包括术中和术后的照片记录、病变诊断、缺陷大小和位置、PIF大小和活动轴、术后随访时间和并发症。结果:所有患者在肿瘤切除后均行PIF眶周重建。7例缺损累及下睑交界处,10例延伸至内眦,包括3例眶外眦。2例受累于外侧眶周区。皮瓣从下颊向下眼睑移动7例,向内侧眦区移动10例,向水平方向移动2例,覆盖内侧及颞区缺损。所产生的缺陷的大小平均为7.9平方厘米。平均随访时间为40个月。皮瓣在100%的病例中保持存活。结论:pif是重建大面积眶周缺损和扩展内切的一种通用选择,该技术应被纳入治疗面中肿瘤的手术方案中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Role of Perforator Island Flaps for the Reconstruction of Mid-Facial and Periorbital Large and Deep Defects.

Purpose: To describe a single-hospital experience with the reconstruction of broad and deep periorbital defects with perforator island flaps (PIFs).

Methods: Twenty cases of reconstruction of complex defects in the periocular region using PIF were selected and revised. All cases were performed in the university hospital of the University of São Paulo, Ribeirão Preto, Brazil, from September 2018 to July 2024. Data collected included intraoperative and postoperative photographic documentation, lesions diagnoses, defect sizes and locations, PIF sizes and axes of mobilization, postoperative follow-up duration, and complications.

Results: All patients underwent periorbital reconstruction with PIF after tumor resection. In 7 cases, the defects involved the lower lid cheek junction, and in 10 cases, they extended into the medial canthus, including 3 cases of orbital exenteration. The lateral periorbital region was affected in 2 patients. The mobilization of the flaps was from the lower cheek toward the lower eyelid in 7 patients, toward the medial canthal area in 10 patients, and horizontally to cover defects in the medial and temporal regions in 2 cases. The size of the resultant defect averaged 7.9 cm2. The mean follow-up time was 40 months. The flap remained viable in 100% of cases.

Conclusion: PIFs are a versatile option for reconstructing large periorbital defects and extended exenterations, and this technique should be included in the repertoire of procedures for managing mid-facial tumors.

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来源期刊
CiteScore
2.50
自引率
10.00%
发文量
322
审稿时长
3-8 weeks
期刊介绍: Ophthalmic Plastic and Reconstructive Surgery features original articles and reviews on topics such as ptosis, eyelid reconstruction, orbital diagnosis and surgery, lacrimal problems, and eyelid malposition. Update reports on diagnostic techniques, surgical equipment and instrumentation, and medical therapies are included, as well as detailed analyses of recent research findings and their clinical applications.
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