反取皮移植联合唇黏膜移植治疗复发性重度睑球粘连1例报告
Reversed skin graft combining with lip mucosa transplantation in treating recurrent severe symblepharon: A case report.
作者信息
Li Tian, Shao Ying, Lin Quan, Zhang Duo
机构信息
Department of Plastic and Reconstructive Surgery, The First Hospital of Jilin University, Changchun, Jilin, China.
出版信息
Medicine (Baltimore). 2018 Aug;97(35):e12168. doi: 10.1097/MD.0000000000012168.
Abstract
RATIONALE
Recurrent symblepharon is very difficult to cure. Techniques applied in symblepharon with no recurrence or low recurrent rate is rare and vital.
PATIENTS CONCERNS
A 12-year-old boy with severe symblepharon caused by firework underwent 2 surgeries for treating severe symblepharon. But both surgeries were failed and symblepharon recurred.
DIAGNOSIS
He was diagnosed with conjunctival sac defect and recurrent symblepharon.
INTERVENTION
The patient received reconstruction with mucosal grafts and a reversed split-thickness skin graft, and suture upper and lower eyelids for 10 days.
OUTCOME
Recurrent symblepharon was cured and the conjunctival sac was reconstructed.
LESSONS
Reversed split-thickness skin graft is much less soft compared to other materials to treat symblepharon and can be used to reconstruct conjunctival sac with no or little recurrence.
摘要
原理
复发性睑球粘连极难治愈。应用于睑球粘连且无复发或复发率低的技术罕见且至关重要。
患者关注点
一名12岁因烟花导致严重睑球粘连的男孩接受了2次治疗严重睑球粘连的手术。但两次手术均失败，睑球粘连复发。
诊断
他被诊断为结膜囊缺损和复发性睑球粘连。
干预措施
患者接受了黏膜移植和反取皮片移植重建术，并上下眼睑缝合10天。
结果
复发性睑球粘连治愈，结膜囊重建。
经验教训
与其他治疗睑球粘连的材料相比，反取皮片质地较硬，可用于重建结膜囊，复发少或无复发。
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Br J Ophthalmol. 2012 Feb;96(2):234-9. doi: 10.1136/bjo.2010.199901. Epub 2011 Apr 27.
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