Moschella F, Cordova A, Di Gregorio C
Department of Plastic and Reconstructive Surgery, School of Medicine, University of Palermo, Italy.
Br J Plast Surg. 1992 Jan;45(1):55-8. doi: 10.1016/0007-1226(92)90117-g.
In this paper we present an original technique for the reconstruction of the full thickness of the lower eyelid after excision of neoplasms. The method is based on the mobilisation of multiple pedicle subcutaneous flaps outlined in the same eyelid and supported by a chondro-mucosal graft. This technique is used for central and off-central losses which involve the outer rim or up to 75% of the width of the whole eyelid. This method is an alternative to the Hughes (1945), Mustardé (1981), Tenzel and Stewart (1978) and McGregor (1973) techniques which we have previously used for this type of reconstruction. The follow-up is satisfactory in terms of the oncological, functional and aesthetic aspects, which represent an inseparable triad in reconstructive eyelid surgery.
在本文中，我们介绍了一种用于肿瘤切除后下眼睑全层重建的原创技术。该方法基于动员同一眼睑内勾勒出的多个带蒂皮下瓣，并由软骨-黏膜移植物支撑。此技术用于涉及外眦缘或整个眼睑宽度达75%的中央和偏心性缺损。该方法是我们之前用于此类重建的休斯（1945年）、马斯塔德（1981年）、滕泽尔和斯图尔特（1978年）以及麦格雷戈（1973年）技术的替代方法。在肿瘤学、功能和美学方面，随访结果令人满意，这些方面在眼睑重建手术中是不可分割的三位一体。
