Shaw G Y, Khan J
Department of Otolaryngology Head and Neck Surgery, University of Kansas Medical Center, Kansas City, USA.
Arch Otolaryngol Head Neck Surg. 1996 Jan;122(1):51-5. doi: 10.1001/archotol.1996.01890130045007.
To demonstrate the technique, advantages, and results of autogenous tarsal grafts in the treatment of ectropion with lower eyelid retraction.
Fourteen patients treated with autogenous tarsal grafts were evaluated. Follow-up ranged from 6 to 30 months (mean follow-up, 10 months).
All patients were treated at the University of Kansas Medical Center, Kansas City, December 1990 through June 1993.
Of 14 patients with ectropion who were treated with this technique, nine had facial nerve paralysis, three had had previous periorbital trauma resulting in cicatricial ectropion, one patient had orbital and congenital lower lid fibrosis, and one patient had Graves' ophthalmopathy with lower lid retraction.
All patients underwent autogenous tarsal grafting. Eleven patients also underwent combined laterocanthal suspension (tarsal tongue technique). Seven patients underwent associated upper lid gold weight loading. One patient underwent a medial canthopexy.
All patients had marked improvement functionally and cosmetically. One patient had slight under-correction. Results have remained stable for over 2 years.
Autogenous tarsal grafts aid in the long-term stability of lower lid ectropion repair. Autogenous tarsal grafting has distinct advantages over other described techniques. When treating paralytic ectropion, other rehabilitative techniques must be additionally employed.
阐述自体睑板移植治疗下睑退缩性睑外翻的技术、优势及效果。
对14例行自体睑板移植的患者进行评估。随访时间为6至30个月（平均随访10个月）。
所有患者于1990年12月至1993年6月在堪萨斯城的堪萨斯大学医学中心接受治疗。
14例接受该技术治疗的睑外翻患者中，9例有面神经麻痹，3例既往有眶周外伤导致瘢痕性睑外翻，1例有眼眶及先天性下睑纤维化，1例有格雷夫斯眼病伴下睑退缩。
所有患者均接受自体睑板移植。11例患者还接受了联合外眦悬吊术（睑板舌技术）。7例患者接受了相关的上睑金片植入。1例患者接受了内眦固定术。
所有患者在功能和外观上均有明显改善。1例患者矫正不足轻微。结果在2年多来一直保持稳定。
自体睑板移植有助于下睑外翻修复的长期稳定性。自体睑板移植比其他所述技术有明显优势。治疗麻痹性睑外翻时，必须额外采用其他康复技术。
