Siegel R J
Plast Reconstr Surg. 1985 Sep;76(3):411-4. doi: 10.1097/00006534-198509000-00013.
A full-thickness graft of hard palate mucosa was used as the lining tissue for eyelid reconstruction in 11 patients over a 7-year period. An orbicularis musculocutaneous flap supplied cover and support. In all cases the mucosal graft was easily removed, convenient to handle, and took completely. The palate donor site reepithelialized by about 3 weeks postoperative and has remained healed and asymptomatic in all cases. In follow-up averaging 3 years, all the reconstructed lids have retained a stable and comfortable lid margin, with no instance of entropion or irritation. The outstanding virtue of palate mucosa for eyelid reconstruction is that it appears to retain most of its original size and stiffness over the long term and thus in a single layer can serve to replace both tarsus and conjunctiva.
在7年时间里，对11例患者采用硬腭黏膜全层移植作为眼睑重建的衬里组织。采用眼轮匝肌皮瓣提供覆盖和支撑。所有病例中，黏膜移植物易于切取，操作方便，且完全成活。腭部供区在术后约3周重新上皮化，所有病例均保持愈合且无症状。平均随访3年，所有重建眼睑的睑缘保持稳定且舒适，无睑内翻或刺激情况发生。腭黏膜用于眼睑重建的突出优点是，长期来看它似乎能保持大部分原始大小和硬度，因此单层即可用于替代睑板和结膜。
