Goldberg S H, Bullock J D, Connelly P J
Department of Ophthalmology, Penn State University College of Medicine, Hershey 17033.
Ophthalmic Plast Reconstr Surg. 1992;8(4):256-61.
Traumatic eyelid avulsion is reported infrequently. We cared for an 18-year-old man who lost > 75% of his right upper eyelid. The tissue was recovered 10 h following the initial trauma. Successful surgical reimplantation resulted in a functional upper eyelid with extensive madarosis. An experimental study was undertaken to attempt to determine the optimal method for preservation of avulsed eyelid tissue. Experimental surgery was performed to simulate repair of eyelid avulsion. The postoperative changes in experimentally reimplanted eyelids parallel those noted in the clinical example of eyelid avulsion. This clinical example and experimental study suggested the following management principles for handling avulsed eyelid tissue: eyelid tissues should not be immersed in saline; avulsed eyelid tissues should be stored at 4 degrees C; if reimplantation time is < 6 h, storage in a cold moist environment is adequate.
创伤性眼睑撕脱的报道较少。我们照料了一名18岁男性，其右上眼睑撕脱超过75%。组织在初次创伤后10小时找回。成功的手术再植使上眼睑功能恢复，但伴有广泛睫毛缺失。进行了一项实验研究，试图确定保存撕脱眼睑组织的最佳方法。进行实验手术以模拟眼睑撕脱的修复。实验性再植眼睑的术后变化与眼睑撕脱临床病例中观察到的变化相似。该临床病例和实验研究提出了处理撕脱眼睑组织的以下管理原则：眼睑组织不应浸泡在盐水中；撕脱的眼睑组织应保存在4℃；如果再植时间小于6小时，保存在冷湿环境中即可。
