Department of Dental Sciences and Surgery, General Hospital, Bari, Italy.
Head Face Med. 2009 Nov 25;5:26. doi: 10.1186/1746-160X-5-26.
While the principles of eyelid reconstruction are well-established, achieving good functional and aesthetic reconstruction remains challenging. This communication presents a technique that we used on a young patient with an eyelid defect following a thermal burn. The patient was operated on to reconstruct the entire upper eyelid using, as a posterior lamella, a mucochondrial autologous graft taken from the ala of the nose as a tarsus and conjunctiva substitutes that were sutured to the Elevator palpebrae superioris aponeurosis and muscle. On the other hand, to reconstruct the anterior lamella, which consists of skin and muscle, the surgeons used a myocutaneous temporal flap taken from the region immediately lateral to the external canthus of the palpebral region, and which, after being isolated following a drawing of the upper eyelid to be reconstructed, was rotated and then sutured to the posterior lamella using the orbicularis oculi muscle as a pedicle.
虽然眼睑重建的原则已经确立，但要实现良好的功能和美学重建仍然具有挑战性。本交流介绍了我们在一位年轻患者身上使用的技术，该患者因热烧伤导致眼睑缺损。对患者进行了手术，使用从鼻翼外侧获得的黏膜自体移植物作为眼轮匝肌和结膜的替代物，将其缝合到上睑提肌筋膜和肌肉上，以重建整个上眼睑的后层作为睑板。另一方面，为了重建由皮肤和肌肉组成的前层，外科医生使用了从眼睑外侧眼角区域立即取下来的颞肌皮瓣，在对要重建的上眼睑进行划线后，将其游离，然后旋转并使用眼轮匝肌作为蒂缝合到后层。
