Li Ming, Liu Shaoqian, Chen Nian, Duan Feijiao, Xie Hongju
Department of Medical Cosmetology, First Affiliated Hospital, University of South China, Hengyang Hunan 421001, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2017 Jun 28;42(6):662-666. doi: 10.11817/j.issn.1672-7347.2017.06.011.
To evaluate the clinical effect of combination of autologous tissue reconstruction of tarsal plate with temporal flap on repair of full-thickness lower eyelid defect. Methods: Eleven patients (11 eyes) underwent hard palate mucosa or ear cartilage combined the emporal flap with the orbicularis oculi muscle to repair full-thickness defect of palpebra inferior. Of the 11 patients, 6 had more than 75% eyelid defect area, and 5 had more than 50% eyelid defect area. Results: All 11 eyes closed completely, with no entropion or ectropion, and returned to normal basically. Postoperative follow-up was performed for 6 months to 5 years, 3 years and 4 months on average. The function and form of eyelid remained stable. Infection, leakage or contracture was not found on reconstruction tarsus. Conclusion: Reconstruction of eyelid with autogenous hard palate mucosa or ear cartilage combined the emporal flap with the orbicularis oculi muscle is a simple, convenient and effective method.
评估颞部皮瓣联合自体组织重建睑板修复下睑全层缺损的临床效果。
11例（11眼）患者采用硬腭黏膜或耳软骨联合颞部皮瓣及眼轮匝肌修复下睑全层缺损。11例患者中，6例睑裂缺损面积超过75%，5例睑裂缺损面积超过50%。
11眼均完全闭合，无睑内翻或睑外翻，基本恢复正常。术后随访6个月至5年，平均3年4个月。眼睑的功能和形态保持稳定。重建睑板未发现感染、渗漏或挛缩。
自体硬腭黏膜或耳软骨联合颞部皮瓣及眼轮匝肌重建眼睑是一种简单、方便、有效的方法。
