皮肤眼轮匝肌复合组织瓣游离移植修复眼睑外翻

The repair of ectropion palpebrarum by free grafting of the complex tissue graft of eyelid

目的:探讨用皮肤眼轮匝肌复合组织瓣游离移植,修复各种原因所致的眼睑外翻。方法:各种原因所致的眼睑外翻10例,外翻程度0～Ⅱ度,松解复位外翻的眼睑,于上睑切取7～10mm宽的梭形皮肤眼轮匝肌复合组织瓣,缝植于患侧眼睑皮肤缺损处,油纱卷施压包扎。供区上睑行重睑整形术。结果:除1例单侧下睑Ⅱ度外翻改善为0度外翻,其余病例眼睑外翻完全矫正。随访3～12月,无复发。移植的复合组织瓣色泽、质地同受区皮肤,供区重睑形态良好。结论:皮肤眼轮匝肌复合组织瓣游离移植是修复各种原因所致的轻中度瘢痕性眼睑外翻的较好方法。

Objective To study the result of repairing ectropion palpebrarum with the free grafting of complex tissue graft of eyelid. Methods 10 patients with 0- Ⅱlevel ectropion palpebrarum caused by various diseases were treated by complex tissue graft of skin and orbicularis muscle. The complex tissue graft of eyelid was harvested at donor eyelid. After the everted eyelid was released to normal location, and the graft was implanted to repair the defect of the affected eyelid. The pressure dressing of a cosmolin gauze roll was used on the graft. Results Ectropion palperabrum of nine patients were corrected successfully except for one II level ectropion palpebrarum which was improved to 0 level. There was no recurrence in all cases after 3-12 months follow-up. The color and texture of complex tissue graft is same to the skin around the graft and the donor eyelid takes on good double eyelid appearance. Conclusion The free grafting of complex tissue graft of eyelid is a good alternative to repair 0- Ⅱ level ectropion palpebrarum caused by vadous of diseases.