Oculoplasty and Paediatric Ophthalmology Services, Dr Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India.
Indian J Ophthalmol. 2022 Apr;70(4):1404-1407. doi: 10.4103/ijo.IJO_1797_21.
Full-thickness deficiency of eyelid tissues can result in coloboma or retraction or both. Here we report our initial experience on the use of auricular skin-cartilage sandwich graft technique for full-thickness eyelid deformities. Five patients (4-32 years) underwent the procedure. Patients with full-thickness eyelid deformity were included. Three patients were operated for large-sized coloboma and two for eyelid retraction. One patient had congenital, and four patients had acquired etiology. The following parameters were specifically assessed: correction of deformity, ocular surface problems, graft status, and epithelization of skin-cartilage graft. All the patients had a good correction of eyelid position, except one patient who had severe eyelid retraction (8 mm) at presentation. None of our patients had corneal erosion/defect, persistent ocular surface redness, or graft loss. The auricular skin-cartilage sandwich graft technique produces optimal results with no graft loss. Advancement of orbicularis muscle in between the auricular skin and cartilage grafts (sandwich technique) is an imperative step that leads to the survival of both grafts.
眼睑全层组织缺损可导致眼眶裂开或退缩，或两者皆有。在此，我们报告使用耳皮-软骨三明治移植技术治疗全层眼睑畸形的初步经验。五名患者（4-32 岁）接受了该手术。纳入全层眼睑畸形的患者。三名患者因大尺寸眼眶裂开，两名患者因眼睑退缩而接受手术。一名患者为先天性，四名患者为后天性病因。专门评估了以下参数：畸形矫正、眼表面问题、移植物状况和皮肤-软骨移植物的上皮化。除一名就诊时存在严重眼睑退缩（8mm）的患者外，所有患者的眼睑位置均得到良好矫正。我们的患者均无角膜侵蚀/缺损、持续性眼表面发红或移植物丢失。耳皮-软骨三明治移植技术可获得最佳效果，无移植物丢失。耳皮和软骨移植物之间的眼轮匝肌推进（三明治技术）是导致两种移植物存活的必要步骤。
