Teh Y H, Tan Y P, Zain M M
Selayang Hospital, Department of Internal Medicine, Malaysia.
Med J Malaysia. 2017 Aug;72(4):254-256.
Eyelid reconstruction is complex and challenging since it is not only for structural and functional restoration, but also for an acceptable aesthetic result. In full thickness eyelid injuries, it will involve both anterior and posterior lamella. Therefore, when reconstructing the defect, it requires at least two layers; one will be a flap with blood supply, and the other can be a free graft. In this case, a rotational advancement cheek flap and composite graft were used to reconstruct the lower eyelid.
眼睑重建复杂且具有挑战性,因为它不仅关乎结构和功能的恢复,还需达成可接受的美学效果。在全层眼睑损伤中,会涉及前层和后层睑板。因此,在修复缺损时,至少需要两层;一层是带血供的皮瓣,另一层可以是游离移植片。在此病例中,采用旋转推进颊部皮瓣和复合移植片来重建下眼睑。