Zaykova M V, Lubnin V G, Koroleva J V
Acta Chir Plast. 1989;31(2):65-73.
For the purpose of stabilizing the supportive connective tissue of the eyelid in mechanical non-gunshot injuries, the authors developed a technique of primary combination plastic surgery performed simultaneously with primary surgical treatment. The technique consists in the transfer of allogenic tissues (dura mater, amnion and others) performed already during the primary surgical treatment with the aid of one of the techniques used in one-stage autotransplantation (local shifting, free transfer, one-pedicle flap). Primary combination blepharoplasty (mostly performed by local shifting) was carried out in 120 patients with mechanical eyelid injury. Healing by first intention was seen in 97% of patients, and in 84% of persons of the control group. Good aesthetic and functional results were noted in the basic group of the patients in 96% when discharged, later on, in 97%; good results were also achieved in the control group--76.4% of discharged patients, and after a time interval in 23.7%. Primary combination plastic surgery of the eyelid has a wide range of indications in cases of non-gunshot injuries, in adults and children alike.
为了在机械性非枪伤中稳定眼睑的支持性结缔组织，作者开发了一种与一期手术治疗同时进行的一期联合整形手术技术。该技术包括在一期手术治疗期间，借助一期自体移植中使用的技术之一（局部移位、游离移植、单蒂皮瓣）进行同种异体组织（硬脑膜、羊膜等）的移植。对120例机械性眼睑损伤患者实施了一期联合睑成形术（大多通过局部移位进行）。97%的患者一期愈合，对照组为84%。患者基本组出院时96%、之后97%的患者获得了良好的美学和功能效果；对照组出院患者中76.4%、经过一段时间后23.7%的患者也取得了良好效果。眼睑一期联合整形手术在非枪伤病例中，无论成人还是儿童，都有广泛的适应证。
