一种上睑缘缺损修复技术。
A technique for reconstruction of upper lid marginal defects.
作者信息
Irvine F, McNab A A
机构信息
Royal Victoria Eye and Ear Hospital, Melbourne, Australia.
出版信息
Br J Ophthalmol. 2003 Mar;87(3):279-81. doi: 10.1136/bjo.87.3.279.
BACKGROUND/AIMS: Reconstruction of large full thickness upper lid defects that cannot be closed directly often rely on utilising the lower lid. An example is the Cutler Beard procedure. A one stage technique for repair of large horizontal upper lid defects utilising local posterior and anterior lamella advancement flaps is described and the results reported.
METHOD
Eight cases with upper lid defects repaired utilising this technique were reviewed retrospectively. The procedures were carried out by one surgeon. The upper lid lesions were removed under frozen section control. The mean follow up time was 35 months.
RESULTS
All patients had a good cosmetic result. One patient had a recurrence of the upper lid lesion. Two patients complained of corneal irritation from lanugo hairs. The technique was modified to prevent this complication.
CONCLUSIONS
Large upper lid marginal defects can be readily repaired using the technique described with local advancement flaps with no significant complications.
背景/目的：无法直接闭合的大型全层上睑缺损的重建通常依赖于利用下睑。例如卡特勒-比尔德手术。本文描述了一种利用局部前后层推进皮瓣修复大型水平上睑缺损的一期技术，并报告了结果。
方法
回顾性分析8例采用该技术修复上睑缺损的病例。手术均由一名外科医生完成。上睑病变在冰冻切片控制下切除。平均随访时间为35个月。
结果
所有患者均获得良好的美容效果。1例患者上睑病变复发。2例患者抱怨毳毛刺激角膜。对该技术进行了改进以预防此并发症。
结论
使用本文所述的局部推进皮瓣技术可以轻松修复大型上睑边缘缺损，且无明显并发症。
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