Clinical study of pedicled tarsal conjunctival flap transposition in reconstruction of eyelid

中国实用眼科杂志 Pub Date : 2017-08-10 DOI:10.3760/CMA.J.ISSN.1006-4443.2017.08.020

Haifeng Zhao, R. Cai, Chang-fan Wu

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Abstract

Objective To investigate the clinical effect of the remaining eyelid of Pedicled tarsal conjunctival flap transposition in the reconstruction of severe full-thickness eyelid defects after the surgery of malignant eyelid tumors. Methods Among the 15 patients (15 eyes) treated with full-thickness eyelid defects between 1/3 to 1/2 after the surgery of malignant eyelid tumors, the remaining eyelid of Pedicled tarsal conjunctival flap was grafted to replace the posterior layers of the eyelid (the tarsus and the conjunctiva) while periocular orbicularis muscular flap was utilized to reconstruct the anterior layers of the eyelid (the skin and muscular layer). Results All patients were followed for 6 to 36 months, averaged 18 months. The flaps and Pedicled tarsal conjunctival flaps existed well in all cases. Satisfactory aesthetic and functional results were achieved, all patients with no recurrence. Conclusions The transposition of Pedicled tarsal conjunctival flap can repair full-thickness eyelid defects between 1/3 to 1/2 after the surgery of malignant eyelid tumors with definite and good outcome. Key words: Malignant eyelid tumors; Blepharoplasty; Tarsal conjunctival flap transposition

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带蒂睑结膜瓣移位重建眼睑的临床研究

目的探讨带蒂跗骨结膜瓣转位修复眼睑恶性肿瘤术后严重全层睑缺损的临床效果。方法对15例(15眼)眼睑恶性肿瘤术后1/3 ~ 1/2间全层缺损患者，采用带蒂睑结膜瓣移植剩余眼睑，替代眼睑后层(睑板和结膜)，眼周轮匝肌瓣重建眼睑前层(皮肤和肌肉层)。结果随访6 ~ 36个月，平均18个月。所有病例皮瓣及带蒂睑结膜皮瓣均存在良好。美观、功能均达到满意效果，所有患者无复发。结论带蒂睑结膜瓣移位修复眼睑恶性肿瘤术后1/3 ~ 1/2全层缺损，疗效确切，效果良好。关键词:眼睑恶性肿瘤;眼睑整容术;跗骨结膜瓣移位

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中国实用眼科杂志

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期刊介绍： China Practical Ophthalmology was founded in May 1983. It is supervised by the National Health Commission of the People's Republic of China, sponsored by the Chinese Medical Association and China Medical University, and publicly distributed at home and abroad. It is a national-level excellent core academic journal of comprehensive ophthalmology and a series of journals of the Chinese Medical Association. China Practical Ophthalmology aims to guide and improve the theoretical level and actual clinical diagnosis and treatment ability of frontline ophthalmologists in my country. It is characterized by close integration with clinical practice, and timely publishes academic articles and scientific research results with high practical value to clinicians, so that readers can understand and use them, improve the theoretical level and diagnosis and treatment ability of ophthalmologists, help and support their innovative development, and is deeply welcomed and loved by ophthalmologists and readers.