Observations On the Use of Personalized Composite Flaps in Postoperative Repair of Eyelid Tumour Excision

© 2024 by the Authors. Licensee Whioce Publishing, Singapore. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )

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Abstract

Objective: To analyze the application effect of personalized composite flap technology in the postoperative repair of eyelid tumour excision. Methods: To retrospectively analyze the clinical data of 76 patients who underwent postoperative repair of eyelid tumour excision in the outpatient clinic of the Affiliated Hospital of Hebei University during May 2022–April 2024, and group them according to the method of repair. 38 patients who underwent local flap transfer repair were included in the control group, and the other 38 patients who underwent personalized composite flap repair were included in the observation group. Results: Eyelid defect repair in the patients of the observation group was significantly higher than that of the control group (78.95%) in the total effective rate of defect repair (97.37%), (P < 0.05); before repair, the difference between the two groups of patients in terms of eyelid fissure length difference and eyelid fissure height difference was insignificant (P > 0.05); after repair, the difference in the length of the eyelid fissure and eyelid fissure height difference of the patients of the two groups was significantly reduced, and the observation group was lower than that of the control group (P < 0.05); before repair, there was no statistically significant difference between the aesthetic function scores of the two groups (P > 0.05); after repair, the aesthetic function scores of the patients in the observation group were significantly higher than those of the control group, and the difference was statistically significant (P < 0.05); after the operation, the total incidence of complications such as ptosis, eyelid margin incision marks and suture disintegration in the observation group was significantly lower than those in the control group (26.32%), (P < 0.05). Conclusion: The application of personalized composite flap technique for postoperative repair of eyelid tumour excision is effective, which not only helps to reduce the difference in lid height and length and improve the appearance of the patients, but also greatly reduces the risk of complications such as ptosis, lid margin incision marks and suture disintegration, and is recommended to be widely used in the clinic.

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