Application of autogenous ear cartilage in eyelid reconstruction

中国实用眼科杂志 Pub Date : 2017-05-10 DOI:10.3760/CMA.J.ISSN.1006-4443.2017.05.020

H. Kao, Y. Xie, B. Song

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Abstract

Objective To analyze the effect of autogenous ear cartilage in eyelid reconstruction. Methods Case analysis. From October 2006 to December 2013, totally 24 patients (24 eyes) of entire or greater than or equal to fifty percent blepharocoloboma after malignant palpebrae superior tumorectomy, admitted to Department of Ophthalmology in the Affiliated Hospital of Binzhou Medical College, were repaired with autogenous ear cartilage transplantation for the eyelid reconstruction. The autogenous ear cartilage was utilized for a substitude of tarsal plate. Eyelid tumors were removed completely, took the contralateral ear cartilage, made the length of 2 mm larger than the defect meibomian and equal width. The internal surface of ear cartilage was covered with remaining fornical conjunctiva and the external surface with orbicularis oculi and skin. Results All patients were followed up after operation for average 32.6 months. No reject reaction was found, catacleisis was fine and external appearance was satisfying. Conclusions The eyelid reconstruction with autogenous ear cartilage is available to keep eyelid reconstruction normal function and external appearance. Key words: Ear cartilage; Transplantation; Eyelid reconstruction; Blepharocoloboma

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自体耳软骨在眼睑再造中的应用

目的分析自体耳软骨在眼睑再造术中的应用效果。方法病例分析。2006年10月至2013年12月，滨州医学院附属医院眼科共收治了24例(24眼)全部或大于等于50%的睑上恶性肿瘤切除术后睑下陷患者，行自体耳软骨移植修复眼睑重建术。自体耳软骨被用来代替跗骨板。完全切除眼睑肿瘤，取对侧耳部软骨，使其长度比缺损睑板大2mm，宽度相等。耳软骨内表面覆盖剩余形式结膜，外表面覆盖眼轮匝肌和皮肤。结果所有患者术后平均随访32.6个月。无排斥反应，术后恢复良好，外观满意。结论自体耳软骨眼睑再造术能保持眼睑再造术的正常功能和外观。关键词:耳软骨;移植;双眼皮;12例

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来源期刊

中国实用眼科杂志

自引率

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发文量

9101

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.