Belmajdoub M, Jacomet P-V, Benillouche P, Galatoire O
Service ophtalmologie, CHR Gui-de-Chauliac, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France.
Service oculoplatique, fondation Adolphe-de-Rothschild, 25, rue Manin, 75019 Paris, France.
J Fr Ophtalmol. 2015 Sep;38(7):607-14. doi: 10.1016/j.jfo.2014.11.016. Epub 2015 May 18.
Large, full thickness upper eyelid defects are still difficult to deal with in oculoplastic surgery. High specificity in the anatomy and function of the upper eyelid shows how difficult reconstruction can be. We aimed to assess the results provided by the Cutler-Beard flap technique.
We conducted a retrospective study of all patients who had undergone Cutler-Beard flap reconstruction in the Oculoplastic service of La Fondation Rothschild in Paris, from January 2008 to June 2013. Sixteen patients were included.
Fifteen flaps remained viable during the follow-up examinations. Opening, occlusion and palpebral position were very satisfactory in 11, 12 and 11 cases respectively. The ocular surface was preserved in 8 cases and exhibited only mild alterations in 5 cases. The average aesthetic result was noted 2/3 for 11 patients with postoperative photographs. We did not observe any relapses with oncologic indications.
Upper eyelid reconstruction by the Cutler-Beard flap technique appears to provide good functional and aesthetic restoration in the majority of cases. In the others, a simple additional surgery under local anaesthetic and/or sedation provides adequate correction in most instances.
在眼部整形手术中，大面积全层上睑缺损仍然难以处理。上睑在解剖结构和功能上的高度特异性表明了重建的难度。我们旨在评估卡特-比尔德皮瓣技术的效果。
我们对2008年1月至2013年6月期间在巴黎罗斯柴尔德基金会眼部整形科接受卡特-比尔德皮瓣重建手术的所有患者进行了回顾性研究。共纳入16例患者。
15个皮瓣在随访检查期间存活。睁眼、闭眼及睑裂位置分别在11例、12例和11例中非常令人满意。8例患者眼表得以保留，5例仅有轻微改变。11例有术后照片的患者美学效果平均评分为2/3。未观察到有肿瘤指征的复发情况。
卡特-比尔德皮瓣技术进行上睑重建在大多数情况下似乎能提供良好的功能和美学修复。在其他情况下，大多数情况下在局部麻醉和/或镇静下进行简单的附加手术即可提供充分的矫正。
