Papadopoulos Othon, Chrisostomidis Chrisostomos, Konofaos Petros, Georgiou Panagis, Frangoulis Marios, Betsi Evanthia, Champsas Grigorios
University of Athens, Laikon General Hospital, 2nd Propedeutic Surgical Department, Greece.
J Plast Reconstr Aesthet Surg. 2007;60(3):260-5. doi: 10.1016/j.bjps.2005.12.032. Epub 2006 May 18.
Divided naevus of the upper and lower lids is an infrequent congenital naevus of the human eyelids. It is also known as kissing naevus or split ocular naevus. The histological types of divided naevi may be melanocytic, cellular or compound. Until now about 30 such cases have been reported in the literature. In our clinic, in the last 20 years we have seen seven patients with divided naevus, four female and three male. Three patients, two children of 10 and 11 years and a 77-year-old nun, did not accept any treatment. The remaining four patients, three female and one male, accepted surgical treatment. None of them had received any treatment in the past. Three of these divided naevi were cellular and one was melanocytic. Treatment included a two stage reconstruction in three cases and a single stage procedure in one case. The lower eyelid was usually treated first, and upper eyelid full thickness grafts were mostly used. Lid shortening was common, particularly in the cellular naevi. The results were aesthetically and functionally good. No major complications were observed.
上下睑分裂痣是一种罕见的人类眼睑先天性痣。它也被称为亲吻痣或裂眼痣。分裂痣的组织学类型可能是黑素细胞型、细胞型或复合型。到目前为止，文献中已报道了约30例此类病例。在我们诊所，过去20年里我们共接诊了7例上下睑分裂痣患者，其中4例为女性，3例为男性。3例患者，分别是两名10岁和11岁的儿童以及一名77岁的修女，未接受任何治疗。其余4例患者，3例女性和1例男性，接受了手术治疗。他们过去均未接受过任何治疗。这些分裂痣中有3例为细胞型，1例为黑素细胞型。治疗方法包括3例采用两阶段重建，1例采用单阶段手术。通常先治疗下睑，大多采用上睑全层移植。睑裂缩短很常见，尤其是在细胞型痣中。结果在美学和功能方面均良好。未观察到重大并发症。
