Khan J A
Department of Ophthalmology, Kansas University Medical Center, Kansas City 66103.
J Dermatol Surg Oncol. 1991 Feb;17(2):167-70. doi: 10.1111/j.1524-4725.1991.tb01610.x.
Defects of the anterior lamella of the lower eyelid are common following Mohs micrographic surgery. Often, such defects are repaired with free skin grafts. The author reviews the treatment of such defects utilizing a single subcilial incision to develop a sliding blepharoplasty-type flap, which is advanced medially or laterally, as needed, into the defect. Larger defects may require Putterman's modified Tenzel flap. Final lid function, position, and cosmesis were superior to the results expected from free skin grafts alone in four of the author's five cases. Indications, limitations, modifications, technical aspects, benefits and potential pitfalls of reconstructive subcilial flaps are discussed.
下眼睑前层缺损在莫氏显微外科手术后很常见。通常，此类缺损采用游离皮片修复。作者回顾了利用单一睫毛下切口形成滑动睑成形术式皮瓣来治疗此类缺损的方法，该皮瓣可根据需要向内侧或外侧推进至缺损处。较大的缺损可能需要采用帕特曼改良的滕泽尔皮瓣。在作者的5例病例中，有4例最终的眼睑功能、位置和美容效果优于仅采用游离皮片所预期的结果。文中讨论了睫毛下重建皮瓣的适应证、局限性、改良方法、技术要点、优点及潜在问题。
