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板层旋转手术：一种修复上睑缺损的新方法。

Lamellar rotation surgery: a new procedure for repairing upper eyelid defects.

作者信息

Li Qingji

机构信息

Department of Oculoplastic and Reconstructive Surgery, Tianjin Aier Eye Hospital, No.102, Fukang Road, Nankai District, Tianjin, 300190, People's Republic of China.

出版信息

BMC Ophthalmol. 2018 Nov 7;18(1):291. doi: 10.1186/s12886-018-0958-0.

DOI:10.1186/s12886-018-0958-0
PMID:30404607
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6222999/
Abstract

BACKGROUND

To report "Lamellar Rotation Surgery",a new technique for repairing large and moderate full-thickness upper eyelid defects.

METHODS

A two-stage technique is described in which a vertical incision is made in the tarsus of the lower eyelid with elevation of the lateral posterior lamella while sparing the lower eyelid orbicularis and skin to be rotated superiorly to form the reconstructed posterior lamella of the upper eyelid. Additionally, a lateral periosteal flap is used to reconstruct the lateral canthal tendon, and a McGregor procedure is used to reconstruct the anterior lamella of the upper eyelid. The flap is divided during a second-stage surgery at 3 months. Three cases are described to showcase this technique.

RESULTS

Good functional and aesthetic results were achieved for the eyelids.

CONCLUSIONS

This new procedure may help to address the challenge of repairing full-thickness defects of the upper eyelid.

TRIAL REGISTRATION

Registration number: ChiCTR1800018990 , 20 Oct 2018, retrospectively registered.

摘要

背景

报告“板层旋转手术”，这是一种修复中大型全层上睑缺损的新技术。

方法

描述了一种两阶段技术，即在睑板下垂直切开，同时掀起外侧后板层，保留睑板下眼轮匝肌和皮肤，将其向上旋转以形成上睑重建后的后板层。此外，使用外侧骨膜瓣重建外眦韧带，并采用麦格雷戈手术重建上睑前板层。在3个月后的二期手术中切断皮瓣。描述了3个病例以展示该技术。

结果

眼睑获得了良好的功能和美学效果。

结论

这种新手术可能有助于应对修复上睑全层缺损的挑战。

试验注册

注册号：ChiCTR1800018990，2018年10月20日，回顾性注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15b5/6222999/d243d183c57a/12886_2018_958_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15b5/6222999/e2d3ff6b6706/12886_2018_958_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15b5/6222999/da14a1bcb792/12886_2018_958_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15b5/6222999/2aea9e2f15fa/12886_2018_958_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15b5/6222999/14f452d8d858/12886_2018_958_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15b5/6222999/5638dd978aaa/12886_2018_958_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15b5/6222999/b7f905e17fd2/12886_2018_958_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15b5/6222999/d243d183c57a/12886_2018_958_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15b5/6222999/e2d3ff6b6706/12886_2018_958_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15b5/6222999/da14a1bcb792/12886_2018_958_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15b5/6222999/2aea9e2f15fa/12886_2018_958_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15b5/6222999/14f452d8d858/12886_2018_958_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15b5/6222999/5638dd978aaa/12886_2018_958_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15b5/6222999/b7f905e17fd2/12886_2018_958_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15b5/6222999/d243d183c57a/12886_2018_958_Fig7_HTML.jpg

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