硬腭黏膜移植联合眼周皮瓣修复下睑全层缺损

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。

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

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.·