Abood Mahdi H, Weyes Mohammed Mustafa
Alwasity Hospital, Baghdad, Iraq.
J Craniofac Surg. 2006 Mar;17(2):224-30. doi: 10.1097/00001665-200603000-00004.
Contracted eye socket is a constant cosmetic embarrassment to the patient. It does not only render patients unable to maintain eye prosthesis, but it becomes a source of chronic discharge and irritation. Traumatic injuries to the orbit and neighboring soft tissue lead to a contracted eye socket. To evaluate the use of full thickness and thick split thickness skin graft in the reconstruction of contracted eye socket with achieving satisfactory cosmetic results we used bilateral fish tail incision in continuity with the transverse incision on the back of the eye socket for rising of two unipedicle hinge flaps for creation of upper and lower fornices. Fixation of full-thickness and thick split-thickness skin graft to the created raw area by stitch and splint (non-adherent tulle and eye prosthesis).Twenty-six patients with contracted eye sockets treated with above method from February, 2004 to March, 2005. Eye sockets with adequate size were created in 22 patients and the results were satisfactory, four patients had unsatisfactory results due to partial loss of the full thickness skin graft. We believe that thick split thickness skin graft can be effectively used well than full thickness skin graft in the reconstruction of the contracted eye socket with uncomplicated problems.
睑裂狭小综合征对患者来说始终是一个颜面美容方面令人难堪的问题。它不仅使患者无法佩戴义眼，而且还会成为慢性分泌物及刺激的根源。眼眶及邻近软组织的创伤会导致睑裂狭小综合征。为了评估全厚皮片和厚中厚皮片在重建睑裂狭小综合征中以获得满意美容效果的应用，我们采用双侧鱼尾状切口并与眼眶后部的横向切口相连，以掀起两个单蒂铰链皮瓣来形成上下穹窿。通过缝合和夹板（不粘连的薄纱和义眼）将全厚皮片和厚中厚皮片固定于所形成的创面。2004年2月至2005年3月，26例睑裂狭小综合征患者采用上述方法进行治疗。22例患者形成了大小合适的眼眶，效果满意，4例患者因全厚皮片部分丢失而效果不佳。我们认为，在重建睑裂狭小综合征且无复杂问题时，厚中厚皮片比全厚皮片能更有效地发挥作用。
