眼睑恶性肿瘤切除术后中重度眼睑缺损的Ⅰ期修复

目的:探讨眼睑恶性肿瘤切除术后中重度眼睑缺损I期修复的手术方法和疗效。方法:2010-01/2011-10对11例11眼患者行眼睑恶性肿瘤切除术后,利用硬腭黏膜移植联合眼周皮瓣或游离皮瓣修复眼睑全层缺损行眼睑再造术。其中男3例,女8例,年龄38～77岁,眼睑全部缺损4例,1/2～2/3眼睑缺损7例。眼睑基底细胞癌6例,睑板腺癌4例,眼睑鳞状细胞癌1例。结果:术后眼睑外观及功能恢复满意,随诊6～24mo无1例肿瘤复发。结论:硬腭黏膜移植联合眼周皮瓣或游离皮瓣修复眼睑恶性肿瘤切除术后中重度眼睑全层缺损,在眼睑外形和功能上可获得满意的效果,疗效肯定,具有较高的临床价值。

The immediate reconstruction on the large areas eyelid defect after the operation of malignant tumors of eyelids

AIM: To investigate the surgical approaches of immediate eyelid reconstruction after the operation of malignant tumors of eyelids, and evaluate the clinical effect.

METHODS: From January 2010 to October 2011, 11 cases of malignant tumor of eyelid underwent the eyelid reconstruction with local or free flap grafting and hard palate mucosa autotransplantation. Of 11 cases, there were 3 males and 8 females, aging from 38 to 77 years. The defect was caused by basal cell carcinoma of eyelid in 6 cases, by carcinoma of meibomian glands in 4 cases and by squamous cell carcinoma of eyelid in 1 case, including 4 cases of complete eyelid defect and 7 cases of 1/2-2/3 eyelid defect.

RESULTS: The appearance and function of the eyelid in all cases were satisfactory. No tumor recurrence was observed in all cases during the follow up period of 6 to 24 months.

CONCLUSION: The eyelid reconstruction with local or free flap grafting and hard palate mucosa autotransplantation is an easy and effective method after resection of malignant eyelid tumors.