Ito Osamu, Suzuki Shigehiko, Park Susam, Muneuchi Gan, Kawazoe Takeshi, Saso Yasumi, Onodera Masayuki, Hata Yuiro
Department of Plastic Surgery, Kagawa Prefectural Central Hospital, Takamatsu-city, 1750-1 Ikenobe, Miki-cho, Kita-gun, Kagawa, 761-0793, Japan.
Ann Plast Surg. 2003 Sep;51(3):278-82. doi: 10.1097/01.SAP.0000068115.91989.A4.
The authors performed palatal mucoperiosteal grafting for contracture of the artificial eye socket in 4 patients. Mucoperiosteal grafts were collected from the paramedian area of the hard palate. After release of contracture, the grafts were sutured with absorbable thread to the defective areas on the conjunctival side of the artificial eye socket after release of contracture. All patients showed mucoperiosteal graft survival without problems, no recurrence of contracture, and good courses of artificial eye wear. The mucoperiosteal donor areas showed closed healing after 3 to 4 weeks. Palatal mucoperiosteal grafts can be collected en bloc and are relatively rigid, which allows the simultaneous reconstruction of the conjunctival side and supportive tissue of the eyelid. Although the size of graft collection is limited, grafts with adequate size for partial reconstruction can be collected. Mucoperiosteal grafts are a good reconstruction material for contracture of the artificial eye socket.
作者对4例义眼窝挛缩患者施行腭黏骨膜移植术。黏骨膜瓣取自硬腭正中旁区域。挛缩松解后，将移植瓣用可吸收线缝合于义眼窝挛缩松解后结膜侧的缺损区。所有患者的黏骨膜移植瓣均顺利存活，无挛缩复发，义眼佩戴过程良好。腭黏骨膜供区在3至4周后实现一期愈合。腭黏骨膜瓣可整块切取且相对坚韧，能够同时重建结膜侧和眼睑支持组织。虽然切取的移植瓣大小有限，但可获取足够大小用于部分重建的移植瓣。腭黏骨膜瓣是义眼窝挛缩的良好重建材料。
