Full-ThicknessEyelidReconstructionUsingOrbicularisOculiPPT课件.ppt
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1、Full-Thickness Eyelid Reconstruction Using Orbicularis Oculi Musculo-cutaneous Flap Raised From Lateral Orbital Region,Motohiro Onoda, MD Ann Plast Surg 2010;64: 294297,BACKGOUND,The eyelid reconstruction has always been a challenge for plastic surgeons. From the numerous methods that have ever been
2、 reported for achieving both functional and aesthetic results, the method should be selected according to the size of the defect, the location of the defect (either on upper or lower eyelid, either on medial portion or lateral portion), and the necessity to reconstruct a conjunctiva.,In this article
3、, we present a new design of orbicularis oculi musculocutaneous flap which can ideally be applied for the reconstruction of full-thickness eyelid defect on both upper and lower eyelid, simultaneously reducing the donor site morbidity. We have operated on 7 patients and obtained stable and satisfacto
4、ry results. The operation method is presented with a few technical considerations.,PATIENTS AND METHODS,7 patients (consisting of 3 males, 4 females) were applied this method over the past 5 years,Method,we design a transverse spindle shaped flap on the lateral area of the orbit, extending to the te
5、mporal area. On the medial edge of the skin paddle, we make sure that the flap has a direct overlapping above the orbicularis oculi muscle. According to our experience, the limit of the flap size is 2 cm vertically; within the limit, donor site can be closed primarily without showing obvious deformi
6、ty in the lateral orbital area;,FIGURE 3. The flap has been elevated and is to be transposed toward the lower eyelid defect. Enough range of flap rotation is guaranteed.,Case 1,A 51-year-old woman with a slowly growing lesion on the right lower eyelid was presented with a suspicion of basal cell car
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