Pisera Paweł, Szychta Paweł, Fijałkowska Marta, Antoszewski Bogusław
Klin Oczna. 2015;117(2):104-7.
Eyelids form the protective eye apparatus. Loss of upper or lower eyelid can lead to infection, vision impairment or even blindness. Although there are many techniques for upper or lower eyelid reconstruction, there are only few articles to report simultaneous reconstruction of both eyelids. The aim of this study is to present a two-stage eyelid reconstruction method using the forehead flap. A 60-year-old woman was admitted to our Department with animal bite wounds in the left periorbital area. During the first operation, the eyelid defect was covered with forehead flap and in the second stage, horizontal incision was created in the flap above the eyeball to form a palpebral fissure. During this two-step surgical treatment, both eyelids of the left eye were reconstructed. The length and width of palpebral fissure were 30 mm and 14 mm, respectively. The patient was satisfied with the surgery outcomes. Reconstruction of both eyelids with forehead flap supplied by the frontal branch of the superficial temporal artery provides the elementary protection to the eyeball, enables vision preservation and offers good aesthetic result.
眼睑构成了眼部的保护装置。上睑或下睑缺失可导致感染、视力损害甚至失明。尽管有多种上睑或下睑重建技术，但仅有少数文章报道双眼睑同时重建。本研究的目的是介绍一种使用额部皮瓣的两阶段眼睑重建方法。一名60岁女性因左侧眶周区域动物咬伤入院。在第一次手术中，用额部皮瓣覆盖眼睑缺损，在第二阶段，在眼球上方的皮瓣上做水平切口以形成睑裂。在这两步手术治疗过程中，重建了左眼的双眼睑。睑裂的长度和宽度分别为30毫米和14毫米。患者对手术效果满意。由颞浅动脉额支供血的额部皮瓣重建双眼睑可为眼球提供基本保护，能保留视力并带来良好的美学效果。
