Nose K, Isshiki N, Kusumoto K
Department of Plastic and Reconstructive Surgery, School of Medicine, Kyoto University, Japan.
Plast Reconstr Surg. 1991 Nov;88(5):878-81. doi: 10.1097/00006534-199111000-00023.
A case of severe electrical burn of the unilateral upper and lower eyelids is reported, together with the surgical technique of reconstruction. A 25-year-old man suffered an electrical burn on his left eyelids. On admission, his left upper and lower eyelids were subtotally necrotic. Total eyelid reconstruction was performed 2 1/2 months later. A chondromucosal graft taken from the nasal septum was utilized as the deep layer of the upper eyelid, which was covered by sliding down the remaining levator muscle and connective tissues to maintain the blood supply to the composite graft. The outer layer of the upper lid was reconstructed with a free split-thickness skin graft. The lower lid was reconstructed with a local flap lined with a free mucosal graft. This sandwich method using the levator muscle as a core was found useful for reconstructing both the upper and lower eyelids.
报告了一例单侧上下眼睑严重电烧伤病例及重建手术技术。一名25岁男性左眼睑遭受电烧伤。入院时，其左上睑和下睑几乎完全坏死。两个半月后进行了全眼睑重建。取自鼻中隔的软骨黏膜移植物用作上睑深层，通过下拉剩余的提上睑肌和结缔组织覆盖该移植物，以维持复合移植物的血供。上睑外层用游离中厚皮片重建。下睑用内衬游离黏膜移植物的局部皮瓣重建。发现以提上睑肌为核心的这种三明治法对上睑和下睑重建均有用。
