Mehta H K
Br J Ophthalmol. 1981 Mar;65(3):202-8. doi: 10.1136/bjo.65.3.202.
Eleven consecutive patients with tumours involving the lower eyelid margin were treated with margin-including full-thickness excision of the eyelid and suturing of bleeding vessels as the sole primary surgical procedure, needing less than 10 minutes. The resulting defects of 2/5 to 7/8 of the horizontal extent of the eyelid and varying in height from 4 to 7 mm were allowed to heal spontaneously. In all the 11 patients the wounds healed, without ocular or palpebral complications in about 6 weeks and underwent further cosmetic improvement for the ensuing 6--8 weeks. Cosmetic results were excellent in 8 patients with excisions of 2/5 to 1/2 of the eyelid. All procedures including the secondary reconstructions were carried out on day-case basis under local anaesthesia. Histology confirmed complete tumour clearance in all the patients. Apart from being the first report of a planned study of spontaneous repair of full-thickness surgical wounds of the lower eyelid this study shows that the conventional method of dressing such wounds can be replaced by the less expensive and convenient 'dressing' of a cartella shield with an improvised central hole.
连续11例下睑缘肿瘤患者接受了包括睑缘全层切除及出血血管缝合在内的手术，这是唯一的主要手术操作，耗时不到10分钟。术后造成的睑水平范围2/5至7/8的缺损，高度在4至7毫米之间，任其自行愈合。11例患者伤口均愈合，约6周内无眼部或眼睑并发症，并在接下来的6 - 8周内进一步改善外观。8例切除范围为睑缘2/5至1/2的患者外观效果极佳。所有手术包括二期重建均在局部麻醉下作为日间手术进行。组织学检查证实所有患者肿瘤均完全清除。除了首次报道对下睑全层手术伤口进行自发性修复的计划性研究外，本研究还表明，此类伤口的传统包扎方法可被更便宜且方便的带有简易中心孔的硬纸板眼罩“包扎”所取代。
