自体耳软骨在眼睑再造术中的应用  

Application of autogenous ear cartilage in eyelid reconstruction

作　　者：考华婷[1] 谢迎宾[1] 宋斌[1] 张培培[1] 

机构地区：[1]滨州医学院附属医院眼科,山东省滨州市256603

出　　处：《中国实用眼科杂志》2017年第5期521-523,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨自体耳软骨在眼睑缺损再造中的效果。方法选择2006年10月至2013年12月滨州医学院附属医院眼科收治的眼睑恶性肿瘤术后眼睑缺损≥50%或全部缺损的患者24例（24只眼）。用自体耳软骨移植代替睑板行眼睑再造术。彻底切除眼睑肿瘤，取对侧耳软骨，使长度比缺损睑板大2 mm而宽度相等。残存穹窿部结膜覆盖固定于移植耳软骨的内表面，外表面覆盖眼轮匝肌和皮肤。两侧缝合固定于内外眦睑板残端或韧带处。结果术后所有患者随访，随访时间平均32.6个月。所有病例未见排斥反应，眼睑闭合良好，功能良好。结论利用耳软骨行眼睑再造，能够恢复眼睑缺损再造良好的功能和外观。ObjectiveTo analyze the effect of autogenous ear cartilage in eyelid reconstruction.MethodsCase 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.ResultsAll patients were followed up after operation for average 32.6 months. No reject reaction was found, catacleisis was fine and external appearance was satisfying.ConclusionsThe eyelid reconstruction with autogenous ear cartilage is available to keep eyelid reconstruction normal function and external appearance.

关 键 词：耳软骨 移植 眼睑再造 眼睑缺损 

分 类 号：R779.6[医药卫生—眼科]