Techniques of Upper Eyelid Reconstruction

被引:52
|
作者
Morley, Ana M. S. [1 ]
deSousa, Jean-Louis [1 ,2 ]
Selva, Dinesh [3 ,4 ]
Malhotra, Raman [1 ]
机构
[1] Queen Victoria Hosp, CorneoPlast Unit, E Grinstead RH19 3DZ, England
[2] Lions Eye Inst, Perth, WA, Australia
[3] Univ Adelaide, Dept Ophthalmol & Visual Sci, Oculoplast & Orbital Div, Adelaide, SA, Australia
[4] S Australian Inst Ophthalmol, Adelaide, SA, Australia
关键词
eyelid tumor; surgical techniques; tarsoconjunctival upper eyelid flap; upper eyelid graft; upper eyelid reconstruction; HARD PALATE MUCOSA; FULL-THICKNESS DEFECTS; BRIDGE FLAP TECHNIQUE; DONOR SITE; TARSOCONJUNCTIVAL FLAP; MEDIAL CANTHOPLASTY; AURICULAR CARTILAGE; ADVANCEMENT FLAP; SWITCH FLAP; GRAFTS;
D O I
10.1016/j.survophthal.2009.10.004
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Reconstruction of the upper eyelid is one of the greatest challenges facing the orbitofacial surgeon. This comprehensive review outlines the principles of reconstruction and the range of techniques available. Methods of assessing upper eyelid defects are discussed, and an algorithm for reconstruction based on defect size and lamellar involvement is given. The review contains numerous detailed examples of reconstructive techniques, including secondary intention healing, local flaps, distal flaps, simple and composite grafts, occlusive and non-occlusive methods, and canthal fixation. Eyebrow and eyelash reconstruction is also covered. (Surv Ophthalmol 55:256-271, 2010. (C) 2010 Elsevier Inc. All rights reserved.)
引用
收藏
页码:256 / 271
页数:16
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