Cies W A, Baylis H I
Ophthalmic Surg. 1977 Apr;8(2):116-9.
To prevent corneal damage, the central lid margin must have a normal skin-conjunctiva interface following the lid reconstruction. A two-step procedure may be employed: In the lower lid an initial Hughes reconstruction should be tried. If this is unacceptable, a subsequent block excision of the segment is performed. The important step in both phases is a thorough lateral cantholysis. In the upper lid, the central defect is immediately reconstructed by sliding the lateral lid remnant to the medial remnant. The resulting lateral defect is reconstructed with a Hughes procedure. In both cases, a physiologic lid margin is insured, because normal lid is sutured to normal lid.
为防止角膜损伤，眼睑重建后中央睑缘必须有正常的皮肤 - 结膜界面。可采用两步法：在下睑，应首先尝试进行休斯重建术。如果不可接受，则随后对该节段进行整块切除。两个阶段的重要步骤都是彻底的外眦松解术。在上睑，通过将外侧睑残余部分向内侧残余部分滑动，立即重建中央缺损。由此产生的外侧缺损用休斯手术重建。在这两种情况下，都能确保形成生理性睑缘，因为正常的睑与正常的睑进行了缝合。
