Hsuan J, Selva D
Oculoplastic & Orbital Unit, Department of Ophthalmology, Royal Adelaide Hospital, University of Adelaide, SA, Australia.
Eye (Lond). 2004 Jul;18(7):714-7. doi: 10.1038/sj.eye.6701321.
We describe a variation of the Cutler-Beard flap in the reconstruction of upper eyelid defects.
The technique of upper eyelid reconstruction with a free tarsal graft and a cutaneous lower eyelid advancement flap divided at 2 weeks is described. Four cases where this technique was used for reconstruction of eyelid defects due to periocular malignancy are also reported.
There were three male and one female patients ranging in age from 61 to 78 years. The underlying diagnoses were squamous cell carcinoma, trichilemmal carcinoma, and two basal cell carcinomas. Follow-up of 6-28 months revealed a good outcome in all four cases with one patient developing a mild cicatricial lower eyelid ectropion that was managed conservatively.
A modified Cutler-Beard flap with free tarsal graft and early division may provide an effective alternative for upper eyelid reconstruction in cases with sufficient lower eyelid skin laxity.
我们描述一种改良的卡特勒 - 比尔德皮瓣用于上睑缺损修复的方法。
描述了采用游离睑板移植及下睑皮肤推进皮瓣并在2周时断蒂进行上睑重建的技术。还报告了4例应用该技术修复因眼周恶性肿瘤导致的眼睑缺损的病例。
有3例男性和1例女性患者，年龄在61至78岁之间。潜在诊断为鳞状细胞癌、外毛根鞘癌和2例基底细胞癌。6至28个月的随访显示，所有4例患者预后良好，1例患者出现轻度瘢痕性下睑外翻，经保守治疗。
对于下睑皮肤松弛度足够的病例，采用游离睑板移植及早期断蒂的改良卡特勒 - 比尔德皮瓣可能为上睑重建提供一种有效的替代方法。
