How and when of eyelid reconstruction using autologous transplantation  

作　　者：Giovanni Miotti Marco Zeppieri Agostino Rodda Carlo Salati Pier Camillo Parodi 

机构地区：[1]Department of Plastic Surgery,University Hospital of Udine,Udine 33100,Italy [2]Department of Medical,Surgical and Health Sciences,Plastic and Reconstructive Surgery Unit,University of Trieste,Trieste 34123,Italy [3]Department of Ophthalmology,University Hospital of Udine,Udine 33100,Italy

出　　处：《World Journal of Transplantation》2022年第7期175-183,共9页世界移植杂志

摘　　要：Reconstructive surgery of the eyelid after tumor excision,trauma or other causes can be challenging,especially due to the complexities of the anatomic structures and to the necessity of both functional and aesthetic successful outcomes.The aim of this minireview was to investigate the use of tissue transplantation in eyelid reconstruction.Surgical procedures are various,based on the use of both flaps,pedicled or free,and grafts,in order to guarantee adequate tissue reconstruction and blood supply,which are necessary for correct healing.Common techniques normally include the use of local tissues,combining non-vascularized grafts with a vascularized flap for the two lamellae repair,to attempt a reconstruction similar to the original anatomy.When defects are too wide,vast,deep,and complex or when no adjacent healthy tissues are available,distant area tissues need to be recruited as free flaps or grafts and paired with mucosal layer reconstruction.With regards to the anterior lamella,full thickness skin grafts are commonly preferred.With regards to the reconstruction of posterior lamella,there are different graft options,which include conjunctival or tarsoconjunctival,mucosal or palatal or cartilaginous grafts usually combined with local flaps.Free flap transplantation,normally reserved for rare select cases,include the use of the radial forearm and anterolateral flaps combined with mucosal grafts,which are surgical options currently reported in the literature.

关 键 词：Eyelid reconstruction Graft transplantation Flap transplantation Eyelid lamella grafts Cartilage grafts Dermis grafts Mucosa grafts 

分 类 号：R73[医药卫生—肿瘤]