Scalise Alessandro, Pirro Ortensia, Vico Sara, Consorti Giuseppe, Di Benedetto Giovanni Maria
From Plastic and Reconstructive Surgery, Marche Polytechnic University, Ancona, Italy.
Maxillofacial Surgery, Marche University Hospital, Ancona, Italy.
Plast Reconstr Surg Glob Open. 2024 Sep 13;12(9):e6171. doi: 10.1097/GOX.0000000000006171. eCollection 2024 Sep.
Different surgical approaches exist for lower eyelid reconstruction. The hard palate mucosa graft stands out due to its abundance, accessibility, good tolerance, and ability to yield long-term stable results in eyelid elevation. This case report details the successful full-thickness reconstruction of the lower eyelid in an anophthalmic patient using a palatal mucosal graft, complemented by orbicularis muscle suspension. The patient presented with severe lower eyelid retraction state and instability of the ocular prosthesis. After a thorough assessment, the decision was made to address the mucosal defect using a split-thickness palatal mucosal graft, supplemented by lateral canthus suspension. Postoperatively, there were no complications, and the cosmetic result was excellent. With our method, we were able to obtain a functional and cosmetically good result of lower eyelid reconstruction in an anophthalmic socket.
下睑重建存在不同的手术方法。硬腭黏膜移植因其丰富性、易获取性、良好的耐受性以及在眼睑抬高方面能产生长期稳定效果而脱颖而出。本病例报告详细介绍了一名无眼球患者使用腭黏膜移植成功进行下睑全层重建，并辅以眼轮匝肌悬吊术。该患者表现为严重的下睑退缩状态和义眼台不稳定。经过全面评估后，决定采用中厚腭黏膜移植修复黏膜缺损，并辅以眦外侧悬吊术。术后无并发症，美容效果极佳。通过我们的方法，我们能够在无眼球眼眶中获得功能和美容效果均良好的下睑重建结果。
