Department of Ophthalmology and Visual Science, The Ohio State University Wexner Medical Center, Columbus, Ohio, U.S.A.
Ophthalmic Plast Reconstr Surg. 2019 Jan/Feb;35(1):91-94. doi: 10.1097/IOP.0000000000001263.
To describe a novel technique to correct cicatricial lower lid entropion and retraction using a transverse lower lid tarsotomy with an interposed tarsoconjunctival flap posterior lamellar spacer.
Technique description and retrospective interventional case series.
Four patients underwent the procedure-two with complications following treatment of sinonasal carcinoma and two with complications following orbital fracture repair. All patients had failed prior posterior lamellar spacer grafts, including donor sclera, dermis-fat graft, and hard palate mucosa. Average time to flap takedown was 20 (11-28) days, with an average follow-up interval of 8.4 (6.2-11.5) months. All patients had resolution of lower lid entropion and significant improvement of lower lid retraction with an average of 2.8 mm (2.0-4.3) of elevation. There were no serious complications, and all patients reported significant improvement in ocular surface symptoms.
Transverse tarsotomy combined with a tarsoconjunctival flap is effective for the correction of cicatricial lower lid retraction and entropion in eyelids that have failed surgery with traditional posterior lamellar spacer grafts.
描述一种使用横向下睑切开术联合间置的睑板结膜瓣后板层间隔物矫正瘢痕性下睑内翻和退缩的新方法。
技术描述和回顾性介入病例系列。
4 名患者接受了该手术-2 名患者在治疗鼻窦癌后出现并发症，2 名患者在眼眶骨折修复后出现并发症。所有患者均在前板层间隔物移植物（包括供体巩膜、真皮脂肪移植物和硬腭黏膜）失败。皮瓣切除的平均时间为 20 天（11-28 天），平均随访间隔为 8.4 个月（6.2-11.5 个月）。所有患者的下睑内翻均得到解决，下睑退缩明显改善，平均抬高 2.8 毫米（2.0-4.3 毫米）。无严重并发症，所有患者均报告眼表症状明显改善。
横向睑板切开术联合睑板结膜瓣对于传统后板层间隔物移植物手术失败的眼睑的瘢痕性下睑内翻和退缩的矫正有效。
