Park Sang Min, Kim Chang Yeom
Department of Ophthalmology, Kim's Eye Hospital, Myung-Gok Eye Research Institute, Seoul, Korea.
J Craniofac Surg. 2020 May/Jun;31(3):e283-e285. doi: 10.1097/SCS.0000000000006272.
Medial eyelid defects often damage the lacrimal drainage system, and reconstruction for these patients is challenging. The purpose of this report is to describe a new surgical technique for canalicular reconstruction using canalicular transposition. A 67-year-old female patient presented with an eyelid tumor diagnosed as a sebaceous cell carcinoma at the medial left lower eyelid. The tumor along with the lacrimal punctum and canaliculus was excised. The remnant of the canaliculus was transpositioned to the eyelid margin, and the eyelid was reconstructed by direct closure with cantholysis. Transpositioned canaliculus was patent and functioned well at 1-year postoperative follow-up. A novel technique of reconstruction of medial eyelid defect involving the lacrimal drainage system is described.
内侧眼睑缺损常损害泪道引流系统，对这些患者进行重建具有挑战性。本报告的目的是描述一种使用泪小管转位进行泪小管重建的新手术技术。一名67岁女性患者，左眼下睑内侧出现眼睑肿瘤，诊断为皮脂腺癌。肿瘤连同泪小点和泪小管被切除。将泪小管残端转位至眼睑边缘，通过眦松解直接缝合进行眼睑重建。术后1年随访时，转位的泪小管通畅且功能良好。本文描述了一种涉及泪道引流系统的内侧眼睑缺损重建新技术。
