Xu Haitao, Qiu Yang, Wang Xingxing, Tian Rui, Zhang Jialu, Jiang Mengyang, Du Yuanyuan
Department of Ophthalmology, The Second Hospital of Jilin University, Changchun, China.
J Craniofac Surg. 2019 May/Jun;30(3):907-910. doi: 10.1097/SCS.0000000000005161.
To resect benign tumors on the palpebral margin using an improved minimally invasive surgery, and to observe the outcome and analyze the possible healing mechanism of this improved surgical technique.
Fifty-five patients with a benign tumor on the palpebral margin measuring 2- to 10 mm in diameter were included in this study. The tumors were resected along their edge and basal layer, causing minimal damage to the surrounding structures. Postoperative outcome measures included the following: the wound status, epithelial healing, eyelash growth, recurrence, and complications. Postoperative follow-up time points were 1 day, 7 days, 14 days, 1 month, 3 months, and 12 months.
The wound status ranged from edema to contraction in the early stage postoperatively. The eyelashes that were excised during the operation began to grow from 7 to 14 days postoperatively, and the epithelium began to close simultaneously. From 14 days to 3 months postoperatively, the eyelash and epithelium grew completely, and the scar disappear gradually. Except in 1 patient with trichiasis at 3 months and one patient with tumor recurrence at 12 months postoperatively, there were no other complications, such as ablepharon deformities, alopecia palpebralis, etc. CONCLUSION:: Our improved minimally invasive technique not only resected the tumor effectively but also preserved the important anatomical structure of the palpebral margin. The favorable outcomes resulted from the mechanism of wound healing. This new surgical method is worth implementing in clinical practice.
采用改良的微创手术切除睑缘良性肿瘤，观察其效果并分析这种改良手术技术可能的愈合机制。
本研究纳入55例睑缘直径2至10毫米的良性肿瘤患者。沿肿瘤边缘和基底层切除肿瘤，对周围结构造成最小损伤。术后观察指标包括：伤口状况、上皮愈合、睫毛生长、复发及并发症。术后随访时间点为1天、7天、14天、1个月、3个月和12个月。
术后早期伤口状况从水肿到收缩不等。术中切除的睫毛术后7至14天开始生长，上皮同时开始闭合。术后14天至3个月，睫毛和上皮完全生长，瘢痕逐渐消失。除1例术后3个月出现倒睫和1例术后12个月肿瘤复发外，未出现其他并发症，如睑裂闭合不全畸形、睑缘秃等。结论：我们改良的微创技术不仅能有效切除肿瘤，还能保留睑缘的重要解剖结构。良好的结果源于伤口愈合机制。这种新的手术方法值得在临床实践中应用。
