Paarlberg Jos C, van den Bosch Willem A, Paridaens Dion
Department of Oculoplastic & Orbital Surgery, Rotterdam Eye Hospital, Rotterdam, the Netherlands.
Orbit. 2007 Dec;26(4):319-21. doi: 10.1080/01676830600972690.
To describe a modification of a technique for upper eyelid reconstruction previously described by Patrinely et al.
Radical excision of a large adenoid cystic carcinoma of the upper eyelid resulted in a subtotal full-thickness eyelid defect with preservation of 2 mm of eyelid margin. Reconstruction was performed with a free transconjunctival graft of maximum size from the contralateral upper eyelid, an overlying bipedicled skin-orbicularis oculi muscle flap and a free skin graft.
With this one-step technique, a good cosmetic and functional result could be obtained.
If the eyelid margin can be spared, reconstruction of even very large upper eyelid defects with a modification of the technique reported by Patrinely et al. may yield a good result.
描述一种对先前由帕特林利等人描述的上睑重建技术的改良方法。
对上睑巨大腺样囊性癌进行根治性切除，导致上睑全层部分缺损，保留2毫米睑缘。采用对侧上睑最大尺寸的游离经结膜移植、覆盖的双蒂皮肤-眼轮匝肌瓣和游离皮片进行重建。
通过这种一步法技术，可以获得良好的美容和功能效果。
如果能保留睑缘，采用对帕特林利等人报道的技术进行改良，即使是非常大的上睑缺损重建也可能取得良好效果。
