Nava-Castañeda Ángel, Tovilla-Canales José Luis, Solano-Leal Paolo, Garnica-Hayashi Lilia
Oculoplastics Department, Instituto de Oftalmología Fundación Conde de Valenciana , Mexico City , Mexico.
Orbit. 2019 Oct;38(5):383-386. doi: 10.1080/01676830.2018.1546324. Epub 2018 Nov 27.
: To describe and evaluate the eyelash transplantation with strip composite eyebrow graft to improve eyelid anatomy in tarsoconjunctival flap eyelid reconstruction procedure. : Twenty two patients with eyelid tumors managed by local excision and reconstruction using tarsoconjunctival flap reconstruction procedure were included. Eyelash graft was performed during flap division by harvesting a graft from the eyebrow and creating a recipient pocket in the receptor eyelid. Patients had a 1-year follow up. Eyelash orientation and follicle survival rate were recorded. Demographic variables were analyzed with descriptive statistics. For eyelash follicles survival rate assessment, we evaluated the number of follicles found in the first postoperative day with the follicles found at the end of the study using the Wilcoxon signed rank test. < 0.05 was considered statistically significant. : All eyelash grafts showed a good follicle orientation and no cases of eyelashes misdirection toward the eyeball were reported. No statistical differences ( > 0.05) were found in Wilcoxon signed rank test when comparing the number of follicles present at the first postoperative day and the number of follicles present at the 12th postoperative month, meaning that the vast majority of follicles survived at the end of the study. Graft ischemia, necrosis or infection were not observed. : Tarsoconjunctival flap is an outstanding option for eyelid reconstruction and eyelash transplantation with an eyebrow composite graft is an excellent procedure to enhance and recreate a normal eyelid.
描述并评估采用条状复合眉移植进行睫毛移植，以改善睑板结膜瓣眼睑重建手术中的眼睑解剖结构。纳入22例因眼睑肿瘤行局部切除并采用睑板结膜瓣重建手术进行重建的患者。在瓣分离过程中进行睫毛移植，从眉毛处获取移植物并在受体眼睑中创建一个受体囊袋。患者进行了为期1年的随访。记录睫毛方向和毛囊存活率。使用描述性统计分析人口统计学变量。对于睫毛毛囊存活率评估，我们使用Wilcoxon符号秩检验评估术后第一天发现的毛囊数量与研究结束时发现的毛囊数量。P < 0.05被认为具有统计学意义。所有睫毛移植均显示出良好的毛囊方向，未报告睫毛向眼球方向错误生长的病例。在比较术后第一天出现的毛囊数量与术后第12个月出现的毛囊数量时，Wilcoxon符号秩检验未发现统计学差异（P > 0.05），这意味着在研究结束时绝大多数毛囊存活。未观察到移植物缺血、坏死或感染。睑板结膜瓣是眼睑重建的一个出色选择，采用眉复合移植物进行睫毛移植是增强和重塑正常眼睑的一种优秀手术方法。
