Leone C R
Arch Ophthalmol. 1983 Jun;101(6):945-8. doi: 10.1001/archopht.1983.01040010945019.
For subtotal or total upper eyelid reconstruction, a technique combining tarsal-conjunctival advancement flaps from the upper and lower eyelids was used. A tarsal-conjunctival flap was begun just inside the lower lid margin, and was brought into the upper eyelid so that the tarsus formed the new upper eyelid margin. The remaining tarsus and conjunctiva from the upper eyelid were brought forward to join the lower lid flap. On this conjoined tarsal-conjunctival flap, a full-thickness skin graft was placed. Four weeks later, the conjunctival flap from the lower eyelid was separated. The main advantage of this technique is that it provides stability and support for the new upper eyelid margin while keeping the skin and hair from turning in against the globe.
对于上睑部分或全层重建，采用了一种结合上下睑睑板 - 结膜推进皮瓣的技术。在下睑缘内侧开始制作睑板 - 结膜瓣，将其引入上睑，使睑板形成新的上睑缘。上睑剩余的睑板和结膜向前推进以与下睑瓣相连。在这个联合的睑板 - 结膜瓣上，放置一块全厚皮片。四周后，分离下睑的结膜瓣。该技术的主要优点是，在防止皮肤和毛发内翻接触眼球的同时，为新的上睑缘提供稳定性和支撑。
