暂时性缝线睑裂缝合术。
Temporary suture tarsorrhaphy.
作者信息
McInnes Alan W, Burroughs John R, Anderson Richard L, McCann John D
机构信息
John Moran Eye Center, University of Utah Health Sciences Center, Salt Lake City, Utah.
出版信息
Am J Ophthalmol. 2006 Aug;142(2):344-6. doi: 10.1016/j.ajo.2006.03.026.
PURPOSE
To describe a technique for performing a bolsterless temporary tarsorrhaphy.
DESIGN
Retrospective analysis and surgical technique description.
METHODS
Temporary suture tarsorrhaphy (TST), which consists of a suture through the upper and lower eyelid posterior lamella, was performed after eyelid or socket surgery.
RESULTS
Over 15 years, >1000 patients in the practice of one of the authors (R.L.A.) had TST that successfully maintained corneal coverage without complications in all but four eyes. In two patients, replacement was required because of tissue erosion; in two patients, the suture was placed too posteriorly and caused corneal irritation that required replacement.
CONCLUSION
The TST is functionally equivalent to, or superior to, traditional bolster temporary tarsorrhaphy. The TST is faster and simpler, requires fewer materials, and avoids the risks of bolsters, which include eyelid margin necrosis, irregularities, and lash loss from vascular compromise.
目的
描述一种无支撑临时性睑裂缝合术的技术。
设计
回顾性分析及手术技术描述。
方法
临时性缝线睑裂缝合术（TST），即通过上、下眼睑后层进行缝线，在眼睑或眼窝手术后实施。
结果
在15年多的时间里，其中一位作者（R.L.A.）的临床实践中有超过1000例患者接受了TST，除4只眼外，其余均成功维持了角膜覆盖且无并发症。2例患者因组织侵蚀需要更换；2例患者缝线位置过靠后，导致角膜刺激，需要更换。
结论
TST在功能上等同于或优于传统的有支撑临时性睑裂缝合术。TST更快、更简单，所需材料更少，且避免了支撑物带来的风险，包括睑缘坏死、不规则以及因血管受损导致的睫毛脱落。
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