Akdag Fatma, van den Bosch Willem, Ganteris Elizabeth, Paridaens Dion
Rotterdam Eye Hospital, Oculoplastic & Orbital Service, Rotterdam, Netherlands.
Orbit. 2010 Apr;29(2):110-3. doi: 10.3109/01676830903556476.
To report on a one-stage technique for eyelid reconstruction with preservation of the eyelid margin.
Prospective study.
Five patients with small-to-intermediate full-thickness lower eyelid defects (n = 3) and upper eyelid defects (n = 2) after tumor excision. Defect size ranged from 5 to 7 mm vertically and from 7 to 12 mm horizontally. For eyelid reconstruction, a full-thickness pentagonal graft from the opposite lid was sutured into the full-thickness defect after removal of the orbicularis oculi muscle from the graft. The orbicularis muscle flap from the recipient eyelid was mobilized and brought in for vascular supply between tarsus and skin of the graft. The outcome after surgery was assessed using a subjective scoring system with 4 subsequent grades.
At 1 week postoperatively, adequate viability of the grafts was noted in all patients. After a mean follow-up of 13 months (range 3-33 months) the cosmetic and functional outcome was adequate in 1 case, good in 2 cases, and excellent in 2 cases.
Reconstruction of small to intermediate full-thickness defects of both lower and upper eyelid with the "sandwich block"-technique is associated with a good functional and cosmetic outcome.
报告一种保留眼睑边缘的一期眼睑重建技术。
前瞻性研究。
5例患者在肿瘤切除后出现中小面积的全层下睑缺损（n = 3）和上睑缺损（n = 2）。缺损大小垂直范围为5至7毫米，水平范围为7至12毫米。对于眼睑重建，从对侧眼睑获取全层五边形移植物，在去除移植物中的眼轮匝肌后将其缝合到全层缺损处。将受区眼睑的眼轮匝肌瓣游离并引入，为移植物的睑板和皮肤之间提供血供。术后结果采用主观评分系统进行评估，分为4个等级。
术后1周，所有患者的移植物均有足够的存活能力。平均随访13个月（范围3 - 33个月）后，1例患者的美容和功能效果良好，2例患者效果较好，2例患者效果极佳。
采用“三明治块”技术重建上下睑中小面积全层缺损，功能和美容效果良好。
