Vathulya Madhubari, Manohar Nishank, Jagtap Manish Pradip, Mago Vishal, Jayaprakash Praveen A
Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Arch Plast Surg. 2022 May 27;49(3):319-323. doi: 10.1055/s-0042-1748639. eCollection 2022 May.
Total eyelid defect comprises full-thickness loss of both upper and lower eyelids in a patient. It is a rare and devastating condition with serious implications related to vision, which mandates early and functional reconstruction when associated with intact globe. The primary goal is to give a stable coverage for orbital protection but at the same time provide a functional reconstruction of the defect, to allow for adequate mobility of the eyelids so that the patient's vision is restored to normal with minimal disability. When the defect is massive, and in the absence of loco-regional flaps, microvascular tissue transfer is needed. In this report we describe a radial-artery-based microvascular tissue transfer with a unique innovation utilizing the contralateral frontalis muscle to reconstruct a case of unilateral total upper and lower eyelid loss.
全眼睑缺损是指患者上睑和下睑均出现全层缺失。这是一种罕见且严重的疾病，对视力有严重影响，若眼球完整，则需尽早进行功能性重建。主要目标是为眼眶提供稳定的覆盖，同时对缺损进行功能性重建，使眼睑具有足够的活动度，从而让患者视力恢复正常且残疾程度降至最低。当缺损较大且没有局部皮瓣可用时，就需要进行微血管组织移植。在本报告中，我们描述了一种基于桡动脉的微血管组织移植，并采用了独特的创新方法，即利用对侧额肌来重建一例单侧上睑和下睑全层缺失的病例。
