Kuzmanović Elabjer Biljana, Bušić Mladen, Miletić Daliborka, Pleše Andrej, Bjeloš Mirjana
Faculty of Dental Medicine and Health Care Osijek, University Josip Juraj Strossmayer in Osijek, Croatia.
Faculty of Medicine Osijek, University Josip Juraj Strossmayer in Osijek, Croatia.
Case Rep Ophthalmol Med. 2022 Feb 12;2022:4159263. doi: 10.1155/2022/4159263. eCollection 2022.
Reconstruction of a large defect after the removal of a massive malignant upper lid tumor is still a challenge in oculoplastic surgery. Our method of choice is Mustardé switch flap. Due to the lack of Mohs micrographic surgery and frozen section technique as well as waiting time of two weeks for histopathological results, we made modifications enabling us to reexcise in case of positive margins: the width of the pedicle of the flap was 7 mm allowing the length of the flap to be increased if needed, the lids were closed with temporary lateral tarsorrhaphy to protect the eye, and the lower lid is finally reconstructed in the second stage of the procedure. In three patients with malignant upper lid tumors, this method of reconstruction proved to be safe and effective with favorable long-term results.
在眼部整形手术中，切除巨大恶性上睑肿瘤后重建大面积缺损仍是一项挑战。我们首选的方法是Mustardé转位皮瓣。由于缺乏莫氏显微外科手术和冰冻切片技术，以及等待两周组织病理学结果的时间，我们进行了改进，以便在切缘阳性时能够再次切除：皮瓣蒂的宽度为7毫米，如有需要可增加皮瓣长度，通过临时外侧睑缘缝合关闭眼睑以保护眼睛，在手术的第二阶段最终重建下睑。在3例恶性上睑肿瘤患者中，这种重建方法被证明是安全有效的，长期效果良好。
