Ohtsuka H
Department of Dermatology, Ehime University School of Medicine, Japan.
Ann Plast Surg. 1988 Mar;20(3):244-8. doi: 10.1097/00000637-198803000-00010.
One-stage eye socket and eyelid reconstruction was performed, with relatively satisfactory results, on a patient with a broad forehead. This was done after the complete exenteration of the orbit, using an island frontal flap and a retroauricular island flap with the common superficial temporal vessels. A Foley urethral catheter and a continuous suction drainage tube were effective for good wound healing between the bony orbit and a skin bag, made with a frontal flap, which was hidden in the orbital cavity. On the eighth postoperative day, the skin incision producing the false palpebral fissure was made, and it was enlarged slightly thereafter. A nylon implant was inserted into the orbital apex and cartilage grafts from the auricle to the false upper and lower eyelids were performed secondarily. The fundamental consideration of the eye socket and facial coverage corresponding to the eyelids and the possibility of modification of the author's method are briefly discussed.
对一名额头较宽的患者进行了一期眼眶和眼睑重建，效果相对满意。这是在眼眶彻底清创后进行的，采用带颞浅血管的岛状额部皮瓣和耳后岛状皮瓣。一根 Foley 尿道导管和一根持续吸引引流管对骨眼眶和用额部皮瓣制作的、隐藏在眼眶腔内的皮袋之间的伤口良好愈合有效。术后第 8 天，做了形成假睑裂的皮肤切口，此后稍作扩大。将尼龙植入物插入眶尖，并二期进行从耳廓到假上、下眼睑的软骨移植。简要讨论了与眼睑相对应的眼眶和面部覆盖的基本考虑因素以及作者方法改进的可能性。
