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目的 观察应用前臂皮瓣和游离的硬腭粘膜移植修复眼睑缺损的疗效。方法 用口腔硬腭粘膜移植片代替睑板和结膜 ,前臂皮瓣覆盖在硬腭粘膜上 ,再造眼睑。结果 术后经过长期随访 ,成活率为 10 0 % ,效果满意。结论 前臂皮瓣由于血管的吻合 ,有足够的血液供应。硬腭粘膜植片的外形、厚度、硬度与睑板相似 ,有良好的支撑作用 ,并有柔软的粘膜表面 ,术后皱缩小 ,取材方便 ,成活率高 ,前臂皮瓣联合游离硬腭粘膜移植是眼睑再造的理想材料
Objective To observe the curative effect of repairing eyelid defect using forearm flap and free hard palate mucosa transplantation. Methods The oral hard palate mucosa graft instead of the tarsal and conjunctiva, forearm flap covering the hard palate mucosa, reconstruction eyelid. Results After long-term follow-up, the survival rate was 100% with satisfactory results. Conclusions Forearm flaps have adequate blood supply due to vascular anastomosis. Hard palate mucosal implants shape, thickness, hardness and meibomian similar, have a good supporting role, and a soft mucosal surface, small shrinkage, easy access, high survival rate, forearm flap combined with free hard palate mucosa transplantation is the eyelid Recycled the ideal material