Achauer B M, Menick F J
Plast Reconstr Surg. 1985 Jan;75(1):11-6. doi: 10.1097/00006534-198501000-00003.
It is often stated that any injury severe enough to avulse both lids will inevitably destroy the globe. Two cases are presented in which the globe was uninjured but exposed, requiring immediate coverage. Local skin flaps placed over mobilized conjunctiva were used for emergency cover. One was eventually made into functioning eyelids; the other remains dormant. First-line options for local flaps may not be available because of regional trauma. The reconstructive surgeon caring for acute trauma patients should be familiar with all available options, including recently described island and myocutaneous flaps.
人们常说，任何严重到足以撕脱双侧眼睑的损伤都将不可避免地破坏眼球。本文介绍了两例眼球未受损但暴露在外的病例，需要立即进行覆盖。将局部皮瓣覆盖在游离的结膜上用于紧急覆盖。其中一例最终形成了有功能的眼睑；另一例仍处于休眠状态。由于局部创伤，可能无法采用一线的局部皮瓣选择。治疗急性创伤患者的重建外科医生应熟悉所有可用的选择，包括最近描述的岛状皮瓣和肌皮瓣。
