三联术再造下睑及泪小管

The reconstruction of lower eyelid and lacrimal canaliculi by triad operation

目的 探讨重度下眼睑缺损和泪小管的修复。方法 运用三联手术 (颊部旋转皮瓣移植 +游离唇粘膜移植 +游离唇粘膜再造泪小管术 )修复重度下眼睑缺损 (范围大于 90 % )和部分或全部下泪小管。行 12例 ( 12只眼 )手术 ,随访 12～ 18个月。结果 术后下眼睑成形佳 ,泪道通畅。1例轻度睑球粘连。结论 本手术修复下眼睑同时 ,再造下泪小管 ,较好地达到了结构和功能恢复。

Objective To study the plerosis of severe lower eyelid and lacrimal canaliculi.Methods 12cases(12 eyes)of severe lower eyelid coloboma(area>90%)and part or whole lacrimal canaliculi coloboma were plerosised by triad operation(rotatary flap of the cheek+free mucosa of lip remove+free mucosa of lip reconstruct lacrimal canaliculi).Follow-up was 12～18 months.Results Post operation the lower eyelid took good shape,tear passaged smoothly.1 case was symblepharon.Conclusions The operation plerosised lower eyelid,meanwhile reconstructed lacrimal canaliculi well.