Yan Yuxin, Fu Rao, Ji Qiumei, Liu Chuanqi, Yang Jing, Yin Xiya, Oranges Carlo M, Li Qingfeng, Huang Ru-Lin
Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhizaoju Road, Shanghai, 200011, China.
Department of Plastic and Burn Surgery, West China Hospital, Sichuan University, Chengdu, China.
Ophthalmol Ther. 2022 Aug;11(4):1383-1408. doi: 10.1007/s40123-022-00533-8. Epub 2022 Jun 11.
Reconstruction of eyelid defects, especially the posterior lamella, remains challenging because of its anatomical complexity, functional considerations, and aesthetic concerns. The goals of eyelid reconstruction include restoring eyelid structure and function and achieving an aesthetically acceptable appearance. An in-depth understanding of the complex eyelid anatomy and several reconstructive principles are mandatory to achieve these goals. Currently, there are multiple surgical treatment options for eyelid reconstruction, including different flaps, grafts, and combinations of them. This comprehensive review outlines the principles of reconstruction and discusses the indications, advantages, and disadvantages of currently available surgical techniques. We also propose our clinical thinking for solving specific clinical questions in eyelid reconstruction and offer perspectives on new potential methodologies in the future.
眼睑缺损的重建，尤其是后层的重建，因其解剖结构复杂、功能考量以及美学问题而仍然具有挑战性。眼睑重建的目标包括恢复眼睑结构和功能，并实现美学上可接受的外观。要实现这些目标，必须深入了解复杂的眼睑解剖结构和一些重建原则。目前，眼睑重建有多种手术治疗选择，包括不同的皮瓣、移植物及其组合。这篇综述概述了重建原则，并讨论了现有手术技术的适应证、优点和缺点。我们还提出了解决眼睑重建中特定临床问题的临床思路，并对未来新的潜在方法提供了展望。
