de la Torre J, Simpson R L, Tenenhaus M, Bourhill I
University of Alabama at Birmingham, Division of Plastic Surgery 35294-3295, USA.
Ann Plast Surg. 2001 Jun;46(6):621-4. doi: 10.1097/00000637-200106000-00009.
Burns of the lower eyelid represent a difficult management problem. Even with skin grafting, scarring and contraction can result in ectropion. This condition creates a marked aesthetic deformity, poses a risk of corneal exposure, and jeopardizes the patient's vision. Historically, full-thickness skin grafts and tarsorrhaphies have been described to manage recurrent ectropion. The lower eyelid fascial sling (LEFS) uses a temporalis fascial strip to create a suspension sling for the lower eyelid. In a series of 7 patients, the LEFS procedure resolved the symptoms permanently in all patients. Because the LEFS procedure counteracts the natural scar contraction forces of lower eyelid burns, it can resolve recalcitrant ectropion successfully while preserving the function and aesthetics of the lower eyelid.
下眼睑烧伤是一个难以处理的问题。即使进行皮肤移植，瘢痕形成和挛缩也可能导致睑外翻。这种情况会造成明显的美学畸形，存在角膜暴露的风险，并危及患者的视力。从历史上看，全厚皮片移植和睑缘缝合术已被用于治疗复发性睑外翻。下睑筋膜悬吊术（LEFS）使用颞肌筋膜条为下眼睑创建一个悬吊吊带。在一组7例患者中，LEFS手术使所有患者的症状得到了永久性缓解。由于LEFS手术可对抗下眼睑烧伤的自然瘢痕收缩力，因此它可以成功解决顽固性睑外翻，同时保留下眼睑的功能和美观。
