Kersten R C
Department of Ophthalmology, University of Cincinnati Medical School, Ohio.
J Pediatr Ophthalmol Strabismus. 1988 Jan-Feb;25(1):48-51. doi: 10.3928/0191-3913-19880101-13.
Although the traditional approaches to lateral orbital dermoids with incision directly over the lesion or camouflaged beneath the inferior brow provide good direct exposure of the lesion, the result may be cosmetically less acceptable due to prolonged erythema and ultimate depression of the scar when placed in the thicker skin of this region. The results in 11 patients in whom an eyelid crease incision was used are reported. Camouflage of the incision by the overlying lid fold resulted in very satisfactory cosmesis in the immediate postoperative period. The extremely thin lid skin in the crease resulted in rapid healing with a virtually imperceptible mature scar. With sufficient extension of the incision and undermining, the lid tissues could be displaced to allow adequate exposure and removal of the dermoid in all cases.
尽管传统的外侧眶皮样囊肿手术方法，即直接在病变上方切口或在下睑眉下隐蔽切口，能很好地直接暴露病变，但由于该区域皮肤较厚，术后长时间的红斑以及最终瘢痕凹陷，在美容效果上可能不太能被接受。本文报道了11例采用眼睑皱襞切口的患者的手术结果。切口被上方的眼睑皱襞掩盖，术后即刻美容效果非常令人满意。皱襞处极薄的眼睑皮肤愈合迅速，形成的成熟瘢痕几乎难以察觉。通过充分延长切口并进行潜行分离，在所有病例中，眼睑组织都能被移位，以充分暴露并切除皮样囊肿。
