Glatt H J
Department of Surgery, University of Tennessee Medical Center, Knoxville, USA.
Ophthalmic Plast Reconstr Surg. 1997 Jun;13(2):90-7.
In the presence of a full-thickness lower eyelid defect too large for reconstruction with a tarsoconjunctival flap alone, the posterior lamella is often reconstructed with a free graft of nasal septal cartilage and mucosa, ear cartilage, or hard palate mucosa. In this series, an alternative approach was taken: a tarsoconjunctival flap of maximum horizontal dimension was created to reconstruct the majority of the posterior lamella defect. A second reconstruction technique, such as a periosteal flap or a Tenzel semicircular flap, was then used to supplement the tarsoconjunctival flap and reconstruct the remainder of the posterior lamella defect. Tarsoconjunctival flap supplementation yielded favorable results in eight patients and is advocated for the reconstruction of large posterior lamella defects too large for reconstruction with a tarsoconjunctival flap alone.
当下睑全层缺损过大，无法仅用睑板结膜瓣进行重建时，后层通常采用鼻中隔软骨和黏膜、耳软骨或硬腭黏膜的游离移植来重建。在本系列研究中，采用了另一种方法：制作最大水平尺寸的睑板结膜瓣来重建大部分后层缺损。然后使用第二种重建技术，如骨膜瓣或滕泽尔半圆形瓣，来补充睑板结膜瓣并重建后层缺损的其余部分。睑板结膜瓣补充术在8例患者中取得了良好效果，对于过大而无法仅用睑板结膜瓣重建的大后层缺损的重建，该方法值得推荐。
