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上睑巨大化脓性肉芽肿的外科治疗

Surgical treatment of giant pyogenic granuloma of the upper eyelid.

作者信息

Ergün Selma Sönmez, Kocabora M Selim, Su Ozlem, Demirkesen Cuyan

机构信息

Department of Plastic and Reconstructive Surgery, Vakif Gureba Education and Research Hospital, Istanbul, Turkey.

出版信息

Ann Ophthalmol (Skokie). 2007 Fall;39(3):264-6. doi: 10.1007/s12009-007-0032-7.

DOI:10.1007/s12009-007-0032-7
PMID:18025641
Abstract

Pyogenic granuloma (PG), also known as lobular capillary hemangioma, is a benign acquired vascular lesion of the skin and mucous membranes. Diagnosis is aided by history of surgery, trauma or inflammation and characteristic clinical appearance, whereas, definitive diagnosis is made by histopathologic findings. PG is most often located on the head, neck, extremities, and upper trunk. From an ophthalmic perspective, a PG may be located on the eyelids, conjunctiva or rarely on the cornea. We present a case of surgically treated giant pyogenic granuloma of the upper eyelid, and we describe a technique of reconstruction of the upper eyelid skin by bilateral advancement flaps that allows the coverage of small- to medium-sized defects of this region with satisfactory esthetic and functional results.

摘要

化脓性肉芽肿(PG),也称为小叶性毛细血管瘤,是一种皮肤和黏膜的良性后天性血管病变。手术、外伤或炎症史以及特征性临床表现有助于诊断,而最终诊断则依据组织病理学检查结果。PG最常位于头、颈、四肢和上躯干。从眼科角度来看,PG可能位于眼睑、结膜,很少位于角膜。我们报告一例手术治疗的上睑巨大化脓性肉芽肿病例,并描述一种通过双侧推进皮瓣重建上睑皮肤的技术,该技术可覆盖该区域中小面积缺损,获得满意的美学和功能效果。

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