Kopecky A, Koch K R, Bucher F, Cursiefen C, Heindl L M
Zentrum für Augenheilkunde, Universität zu Köln, Kerpener Straße 62, 50924, Köln, Deutschland.
Klinik für Augenheilkunde, Universitäts-Krankenhaus Ostrava, Ostrava, Tschechische Republik.
Ophthalmologe. 2016 Apr;113(4):309-13. doi: 10.1007/s00347-015-0146-z.
The Cutler-Beard bridge flap technique is an established method for reconstruction of large full thickness upper eyelid defects. The purpose of the present study was to report experiences with the surgical technique, complications and results of this cutaneoconjunctival flap procedure following tumor resection.
A total of 18 patients with extensive full thickness upper eyelid defects after tumor excision underwent a Cutler-Beard procedure. Of the patients four received an additional eye bank scleral implant and one received an additional free tarsal graft from the fellow upper eyelid to enhance eyelid stability.
The Cutler-Beard bridge flap technique was surgically feasible in all patients without causing damage to the lower eyelid bridge or resulting in any infections. Out of the 13 reconstructions without additional stabilizing tissue 3 (23%) developed an upper eyelid entropion that was successfully managed using a secondary scleral implant. None of the five reconstructions using additional scleral or tarsal tissue showed an entropion of the upper eyelid.
The Cutler-Beard bridge flap technique, which can be combined with grafting additional stabilization tissue in defects exceeding 75% of the upper eyelid length, is a reliable method for reconstruction of large full thickness upper eyelid defects following tumor excision.
卡特勒 - 比尔德桥式皮瓣技术是一种成熟的用于修复上睑全层大缺损的方法。本研究的目的是报告肿瘤切除后这种结膜皮瓣手术技术、并发症及结果的相关经验。
共有18例肿瘤切除后出现广泛上睑全层缺损的患者接受了卡特勒 - 比尔德手术。其中4例患者额外接受了眼库巩膜植入物，1例患者额外接受了取自对侧上睑的游离睑板移植以增强眼睑稳定性。
卡特勒 - 比尔德桥式皮瓣技术在所有患者中手术可行，未对下睑桥造成损伤，也未引发任何感染。在13例未使用额外稳定组织的重建手术中，3例（23%）出现上睑内翻，通过二次巩膜植入成功处理。使用额外巩膜或睑板组织的5例重建手术均未出现上睑内翻。
卡特勒 - 比尔德桥式皮瓣技术可与在超过上睑长度75%的缺损中移植额外稳定组织相结合，是肿瘤切除后修复上睑全层大缺损的可靠方法。
