硬腭黏膜移植联合眼周皮瓣修复下睑全层缺损

Palate mucosa transplantation combined with the eye flaps repairing the full-thickness lower eyelid defects

目的:探讨用硬腭黏膜植片修复眼睑缺损后层,眼周皮瓣修复眼睑前层缺损,这一联合手术的临床效果。方法:对8例因下睑肿瘤切除所致的下睑全层缺损,采用自体硬腭黏膜移植联合眼周皮瓣重建下睑。结果:随访8mo以上,全部病例硬腭黏膜植片及转移皮瓣全部成活,除1例下睑轻度退缩外,眼睑外观和功能满意,获得良好效果。结论:硬腭黏膜移植联合眼周皮瓣修复下睑全层缺损,可以一次性修复缺损的皮肤、睑板、结膜,效果肯定,具有较高的临床价值。

AIM： To investigate the clinical effect of the operation using the hard palate mucosa graft on the repair of the posterior layer of the full-thickness eyelid defects combined with using the eye flap on the repair of the anterior layer of the full-thickness eyelid defects. METHODS： Eight cases of full-thickness lower eyelid defects caused by tumor resection were reconstructed by transplanting the autologous palatal mucosa combined with eye flap. RESULTS：Followed up for 8 months or more, all cases of hard palate mucosa graft and the transfer of eye flaps were survived. The appearance and function of the eyelid were all satisfactory to obtain good results. CONCLUSION. The operation of palate mucosa transplantation combined with the eye flaps repairing the full-thickness lower eyelid defects can be a one-time repair of the defects of skin, tarsus and conjunctiva. The effect has a highly clinical value.