Chang Edward I, Esmaeli Bita, Butler Charles E
Houston, Texas.
From the Department of Plastic Surgery, University of Texas M. D. Anderson Cancer Center.
Plast Reconstr Surg. 2017 Nov;140(5):724e-735e. doi: 10.1097/PRS.0000000000003820.
After reading this article, the participant should be able to: 1. Describe eyelid anatomy and demonstrate full understanding of the critical structures and basic principles of eyelid reconstruction. 2. Evaluate individual defects, analyze the missing components, and formulate a reconstructive algorithm. 3. Anticipate potential complications and design effective strategies to manage and treat common complications following eyelid reconstruction.
Defects of the eyelid can result from trauma, burns, or resection of cutaneous malignancies. Repair of eyelid defects presents unique challenges to reconstructive surgeons. A fundamental understanding of eyelid anatomy and familiarity with the myriad of options for reconstruction are critical for achieving optimal outcomes. Under ideal circumstances, the aims of reconstruction should be to restore form and function and to replace "like with like."
阅读本文后,参与者应能够:1. 描述眼睑解剖结构,并充分理解眼睑重建的关键结构和基本原则。2. 评估个体缺损,分析缺失的组成部分,并制定重建算法。3. 预测潜在并发症,并设计有效的策略来管理和治疗眼睑重建后的常见并发症。
眼睑缺损可由外伤、烧伤或皮肤恶性肿瘤切除引起。眼睑缺损的修复给重建外科医生带来了独特的挑战。对眼睑解剖结构的基本了解以及对众多重建选择的熟悉对于实现最佳效果至关重要。在理想情况下,重建的目标应该是恢复形态和功能,并“以相似之物替代”。