内外眦切开松解眼睑成形术

目的 探讨用内眦或／和外眦切开松解眼睑成形术修补眼睑缺的效果。方法 对26例因肿瘤切除和外伤造成的眼睑全层缺损者行眼睑成形术。其中单行外眦切开松解者21例；内眦切开松解者2例；内眦切开松解联合眦切开松解者3例。结果 26例手术全部I期愈合成功。除5例外，余21例追踪观察6月－5年，功能及美容效果良好15例，满意4例，眼睑中部凹陷1例，泪溢1例。结论 内、外眦切松解眼睑成形术，手术快、创伤小、I期重建，成功率高，是一种比较理想的眼睑全层缺损修补方法。

Eyelid reconstruction by medial and/or lateral canthotomy and cantholysis

Objective To study the effect of eyelid reconstruction by medial and/or lateral canthotomy and cantholysis.Methods 26 patients with eyelids defecte due to tumour or injury were studied.21 patients were underwent simultaneous lateral canthotomy and cantholysis.2 patients were underwent simultaneous medial canthotomy and cantholysis.3 patients were operated by medial and lateral canthotomy and cantholysis.Results 26 patients were all cured at one time.21 patients were followed for six months to five years.15 patients had excellent and 4 patients had good functional and cosmetic result.Only 1 patient had middle eyelid hollow and 1 patient had lachrymation.Conclusion Eyelid reconstruction by using medial and/or lateral canthotomy and cantholysis had the following advantages:quickly operating,little injury,repairing at one time and high sucess rate.It is the optional method to all layer eyelid defect.