Ambrozová J, Mĕsták J, Smutková J
Department of Plastic Surgery, 3rd Medical Faculty, Charles University, Prague, Czech Republic.
Acta Chir Plast. 1993;35(3-4):131-45.
The authors report on a pretentious surgical procedure which is essential after excision of major tumours of the lower eyelid. They describe in detail the reconstruction of the lower lid in case of a 70% loss of the lid. They used Mustard's method during which the tarsoconjunctival defect was replaced by a mucochondral implant from the nasal septum. After suture of the implant the residual skin defect was covered by rotation of a cheek flap. A two-stage reconstruction of the lower lid was used in case of 95% excision of the width of the lid. In the first stage the authors transferred a tarsoconjunctival flap from the upper lid and covered the musculocutaneous part by a transplant of retroauricular skin. In the second stage they released the tarsoconjunctival flap with subsequent plastic surgery of the lower lid. In 100% loss of eyelid the authors used for replacement of the tarsus of the lower lid a mucochondral implant from the nasal septum and to cover the skin defect they used a bridge-shaped myocutaneous flap from the upper lid in the defect of the-lower lid.
作者报告了一种在下睑大肿瘤切除术后必不可少的矫饰性外科手术方法。他们详细描述了在下睑70%缺失情况下的下睑重建。他们采用了Mustard方法，在此过程中，睑板结膜缺损由鼻中隔的黏膜软骨植入物替代。植入物缝合后，剩余的皮肤缺损通过旋转颊瓣覆盖。在下睑宽度切除95%的情况下，采用了两阶段下睑重建。在第一阶段，作者从上睑转移了一个睑板结膜瓣，并用耳后皮肤移植覆盖肌皮部分。在第二阶段，他们松解睑板结膜瓣，随后对下睑进行整形手术。在眼睑100%缺失的情况下，作者用鼻中隔的黏膜软骨植入物替代下睑睑板，并用上睑的桥状肌皮瓣覆盖下睑缺损处的皮肤缺损。
