Wang Y, Li Y, Hou Z J, Chen T, Li D M
Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Key Laboratory of Ophthalmology & Visual Sciences, Beijing 100730, China.
Zhonghua Yan Ke Za Zhi. 2022 Sep 11;58(9):676-681. doi: 10.3760/cma.j.cn112142-20220226-00076.
To classify the eyelid divided nevi using a new classification method, and to observe the distribution characteristics and surgical effects of these nevi. It was a retrospective case series study. Thirty-nine cases (39 eyes) of eyelid divided nevus treated at Beijing Tongren Hospital affiliated to Capital Medical University were collected between October 2015 and January 2020. A new classification method, namely traditional classification combined with aesthetic unit classification, was used to classify eyelid divided nevi. According to different classifications, the corresponding surgical treatment methods were adopted. The distribution characteristics of different types of eyelid divided nevi were summarized, as well as the effects of plastic surgery. Thirty-nine patients were affected unilaterally, including 26 females (67%) and 13 males (33%), aged (31.1±17.8) years. There were 5 cases (13%) of localized, 6 cases (15%) of a moderate range and 2 cases (5%) of a large range medial eyelid divided nevus respectively. There were 6 cases (15%) of localized and 3 cases (8%) of a moderate range central eyelid divided nevus, respectively. There were 4 cases (10%) of localized and 6 cases (15%) of a moderate range lateral eyelid divided nevus, respectively. There were 2 cases (5%) of a moderate range and 5 cases (13%) of a large range total eyelid divided nevus, respectively. Pathological results revealed 20 cases of intradermal nevus (51%), 18 cases of compound nevus (46%) and 1 case of boundary nevus (3%). After 6 months to 2 years of observation, the patients' appearance was satisfactory. The treatment results were excellent in 36 cases (92%) and good in 3 cases (8%). Even though the pigmented nevus at the eyelid margin recurred in two cases (5%), there was no recurrence after reoperation. Medial and moderate-range eyelid divided nevi are more common, and the traditional classification combined with aesthetic unit classification is more accurate for the classification of eyelid divided nevi. Different types of eyelid divided nevi can be treated by corresponding surgical methods with satisfactory results.
采用一种新的分类方法对眼睑分裂痣进行分类，并观察这些痣的分布特征及手术效果。这是一项回顾性病例系列研究。收集了2015年10月至2020年1月期间在首都医科大学附属北京同仁医院接受治疗的39例（39眼）眼睑分裂痣病例。采用一种新的分类方法，即传统分类结合美学单位分类，对眼睑分裂痣进行分类。根据不同分类，采取相应的手术治疗方法。总结了不同类型眼睑分裂痣的分布特征以及整形手术效果。39例患者均为单侧患病，其中女性26例（67%），男性13例（33%），年龄（31.1±17.8）岁。内眦部眼睑分裂痣局限性5例（13%）、中度范围6例（15%）、大范围2例（5%）；中央部眼睑分裂痣局限性6例（15%）、中度范围3例（8%）；外侧部眼睑分裂痣局限性4例（10%）、中度范围6例（15%）；全眼睑分裂痣中度范围2例（5%）、大范围5例（13%）。病理结果显示皮内痣20例（51%）、复合痣18例（46%）、交界痣1例（3%）。经过6个月至2年的观察，患者外观满意。治疗效果优36例（92%），良3例（8%）。尽管有2例（5%）睑缘色素痣复发，但再次手术后未复发。内眦部和中度范围的眼睑分裂痣较为常见，传统分类结合美学单位分类对眼睑分裂痣的分类更准确。不同类型的眼睑分裂痣可通过相应的手术方法治疗，效果满意。
