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眼轮匝肌结膜“休斯”瓣修复眼球穿孔：严重巩膜坏死处理中的一种改良技术。

Tarsoconjunctival 'Hughes' flap for repair of globe perforation: A modified technique in the management of severe scleral necrosis.

机构信息

Ophthalmology Specialist Registrar, Princess Alexandra Eye Pavilion, Edinburgh, UK.

Ophthalmology & Oculoplastic Consultant, Princess Alexandra Eye Pavilion, Edinburgh, UK.

出版信息

Eur J Ophthalmol. 2022 Sep;32(5):NP60-NP63. doi: 10.1177/11206721211004401. Epub 2021 Mar 25.

DOI:10.1177/11206721211004401
PMID:33765845
Abstract

We report an unusual case of scleral and lid necrosis from suspected self-harm and the management of the resultant scleral perforation with a tarsoconjunctival 'Hughes' flap. To our knowledge, no previous literature describes such a technique in the repair of toxic scleral melts. Our case describes an alternative use for a Hughes flap in providing tectonic support and helping to restore the integrity of the globe in a complex case where conventional methods of 'patching' had failed.

摘要

我们报告了一例疑似自残导致的巩膜和眼睑坏死的罕见病例，并采用眼轮匝肌结膜“休斯”瓣（Hughes flap）对由此导致的巩膜穿孔进行了处理。据我们所知，以前的文献中没有描述过这种技术用于修复毒性巩膜烧伤。我们的病例描述了休斯瓣的另一种用途，即在常规“修补”方法失败的复杂情况下，它可以提供结构支撑并有助于恢复眼球的完整性。

相似文献

1
Tarsoconjunctival 'Hughes' flap for repair of globe perforation: A modified technique in the management of severe scleral necrosis.眼轮匝肌结膜“休斯”瓣修复眼球穿孔：严重巩膜坏死处理中的一种改良技术。
Eur J Ophthalmol. 2022 Sep;32(5):NP60-NP63. doi: 10.1177/11206721211004401. Epub 2021 Mar 25.
2
Secondary tarsoconjunctival flap after previous lower eyelid Hughes repair.既往下睑休斯修复术后的二期睑板结膜瓣
Ophthalmic Plast Reconstr Surg. 2006 Mar-Apr;22(2):105-8. doi: 10.1097/01.iop.0000202608.85087.d2.
3
Histopathologic alterations in the eyelid after Hughes tarsoconjunctival flap: loss of Meibomian glands with preservation of accessory lacrimal glands.休斯睑板结膜瓣术后眼睑的组织病理学改变：睑板腺缺失，副泪腺保留。
Orbit. 2024 Feb;43(1):115-118. doi: 10.1080/01676830.2022.2080232. Epub 2022 May 26.
4
Early division of the conjunctival pedicle in modified Hughes repair of the lower eyelid.下睑改良休斯修复术中结膜蒂的早期分离
Ophthalmic Surg Lasers. 1996 Jun;27(6):422-4.
5
A modification to the Hughes tarsoconjunctival flap for a challenging case of recurrent lower eyelid retraction.针对一例具有挑战性的复发性下睑退缩病例对休斯睑板结膜瓣进行的改良。
Ophthalmic Plast Reconstr Surg. 2015 May-Jun;31(3):245-7. doi: 10.1097/IOP.0000000000000410.
6
Evaluation of ocular surface and tear film function following modified Hughes tarsoconjunctival flap procedure.改良休斯睑板结膜瓣手术后眼表及泪膜功能评估
Acta Ophthalmol. 2014 May;92(3):286-90. doi: 10.1111/aos.12034. Epub 2013 Mar 7.
7
[Tarsoconjunctival transposition. Causes, prevention and possibilities for correction of postoperative complications].[睑结膜转位术。术后并发症的病因、预防及矫正方法]
Ophthalmologe. 1992 Jun;89(3):227-32.
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Single tarsoconjunctival flap (lower eyelid) for upper eyelid reconstruction ("reverse" modified Hughes procedure).单睑板结膜瓣（下睑）用于上睑重建（“反向”改良休斯手术）
Ophthalmic Surg. 1994 Jun;25(6):374-8.
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The maximal Hughes procedure.最大休斯手术
Ophthalmic Plast Reconstr Surg. 2001 Mar;17(2):96-102. doi: 10.1097/00002341-200103000-00004.
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Evaluation of the Microvascular Blood Flow, Oxygenation, and Survival of Tarsoconjunctival Flaps Following the Modified Hughes Procedure.改良休斯手术后视结膜瓣微血管血流、氧合及存活情况的评估
Ophthalmic Plast Reconstr Surg. 2016 Nov/Dec;32(6):468-472. doi: 10.1097/IOP.0000000000000598.

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