Scuderi N, Rubino C
Plastic Surgery Department, La Sapienza University of Rome, Italy.
Br J Plast Surg. 1994 Jan;47(1):57-9. doi: 10.1016/0007-1226(94)90120-1.
We report a new technique of large full thickness eyelid defect reconstruction using an axial island chondro-mucosal flap from the lateral aspect of the nose and a full-thickness skin graft. The flap is harvested undermining the skin and the subperiosteal plane and taking a strip of upper lateral cartilage and nasal mucosa. It is transposed to reconstruct the tarso-conjunctival plane of the missing eyelid and the skin defect repaired with a skin graft. The donor defect is repaired by direct closure. Satisfactory results were obtained in 3 patients. In our opinion, the technique is a reliable choice when dealing with large full thickness defects of the upper eyelid, and, in selected cases, of the lower eyelid.
我们报告一种新的技术，用于修复大面积全层眼睑缺损，该技术采用来自鼻外侧的轴型岛状软骨黏膜瓣和全厚皮片。该皮瓣是在皮肤和骨膜下平面进行剥离获取，同时切取一条上外侧软骨和鼻黏膜。将其转移用于重建缺失眼睑的睑板结膜平面，皮肤缺损则用皮片修复。供区缺损通过直接缝合修复。3例患者均取得了满意的效果。我们认为，该技术在处理上睑大面积全层缺损时是一种可靠的选择，在某些特定情况下，也适用于下睑。
