- 期刊
A New Method of Extensive Eyebrow and Upper Eyelid Reconstruction: The Hairy Pre-auricular Cutaneous Free Flap
重建眉毛及上眼瞼的新方法：帶鬢毛的耳前游離皮瓣
摘要
對於重建廣泛缺損的眉毛及上眼瞼是很具挑戰性的。眉毛的方向與密度，上眼瞼皮膚的性質及功能，手術疤痕的隱藏等在術前都需作詳細的評估。我們報告一位22歲男性因車禍造成右側眉毛及上眼瞼的廣泛缺損。作者以創新的設計及方法，用帶鬢毛的耳前游離皮瓣同時作眉毛及上眼瞼的重建，術後皮瓣順利存活。經過一年的追蹤，重建眉毛的方向、密度與健側眉毛極為相似；被重建的上眼瞼部分其功能也十分良好。無論在美觀或功能方面，病人都非常滿意。所以，對廣泛缺損的眉毛及上眼瞼同時重建，耳前游離皮瓣是一個創新而有效的方法。
關鍵字
無資料並列摘要
Effective restoration of extensive eyebrow and upper eyelid defect is quite difficult. The direction and density of reconstructed eyebrow hair, the color and texture of the reconstructed upper eyelid, and concealment of donor scar should be considered in detail preoperatively. The authors describe a new method for the effective reconstruction of an extensive eyebrow and upper eyelid defect using a hairy pre-auricular cutaneous free flap. The flap survived smoothly and revealed hair growth not dissimilar to that of the patient’s natural eyebrow. The patient has been followed for more than one year and the overall cosmetic acceptability of final result wound appear to be quite satisfactory. The hairy pre-auricular cutaneous free flap is a new method for the cosmetically acceptable reconstruction of an eyebrow/eyelid defect that can be completed in one-stage procedure.
延伸閱讀
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