Harris Spencer, Silkiss Rona Z
Department of Ophthalmology, California Pacific Medical Center, San Francisco, CA, USA.
Am J Ophthalmol Case Rep. 2022 Jul 31;27:101667. doi: 10.1016/j.ajoc.2022.101667. eCollection 2022 Sep.
The reconstruction of near-total upper eyelid defects is challenging and complicated. There are multiple possible techniques, including multi-stage lower eyelid flaps (such as Mustarde's lid-switch flap and the Cutler-Beard techniques) as well as single-stage techniques with free grafts. Here we present two patients requiring near-total upper eyelid repairs that were accomplished by a single-eyelid, single-stage technique using a tarsoconjunctival flap.
Two cases of near-total upper eyelid defects are described, one secondary to resection of a basal cell carcinoma and the other secondary to resection of a Merkel cell carcinoma. Both cases had sufficient residual tarsus to supply a single-eyelid tarsoconjunctival flap. Results were excellent.
When there is sufficient tarsus remaining, the illustrated technique provides an excellent repair of near-total upper-eyelid defects. It is a simpler procedure than its alternatives, spares other tissue sites, eliminates free grafts, and does not require multiple stages.
近乎全层上睑缺损的重建具有挑战性且复杂。有多种可能的技术，包括多阶段下睑皮瓣（如穆斯塔德眼睑转移皮瓣和卡特勒 - 比尔德技术）以及采用游离移植的单阶段技术。在此，我们介绍两名需要近乎全层上睑修复的患者，他们通过使用睑板结膜瓣的单眼睑、单阶段技术完成了修复。
描述了两例近乎全层上睑缺损的病例，一例继发于基底细胞癌切除术后，另一例继发于默克尔细胞癌切除术后。两例均有足够的残余睑板来提供单眼睑睑板结膜瓣。结果极佳。
当有足够的睑板残留时，所示技术可为近乎全层上睑缺损提供极佳的修复。它比其他替代方法更简单，可保留其他组织部位，无需游离移植，且不需要多个阶段。
