局解手术学杂志Issue(6)：596-598,3.DOI:10.11659/jjssx.1672-5042.201406009
46例Ⅱ、Ⅲ度瘢痕性睑外翻手术治疗的临床分析
Clinical effect of surgical reconstruction of Ⅱ and Ⅲ degree cicatricial ectropion in 46 patients
李维娟 1雷泽源 1王韶亮 1张一鸣 1樊东力1
作者信息
- 1. 第三军医大学新桥医院整形美容外科，重庆400037
- 折叠
摘要
Abstract
Objective To improve the detail of the surgery for cicatricial ectropion,and the the effect was investigated. Methods Based on 46 patients withⅡ,Ⅲdegree cicatricial ectropion admitted to our department,choose the junction of normal skin and scar tissue as the incision line according to the degree of ectropion and local situation,and to reserve and recover the orbicularis oculi muscle as possible. The released areas exceeded separately the external canthus and reached the level of eye fissure,take advantage of full-thickness skin graft to correct the parallel lines and make fixation to the eyelid ectropion fusion skin graft on external canthal ligament. Results After followed up for 6 months to 2 years,46 cases of eyelid skin grafts survived completely and eyelids were in good reduction,with none case of incomplete eyelid closure. Conclusion Choose the surgical incision and the released areas in a proper way to reserve the structural integrity of orbicu-laris muscle and make skin graft fixation to inner and external canthal skin can prevent effectively the recurrence of ectropion and improve surgical progress.关键词
瘢痕性睑外翻/整复手术/内外眦/全厚皮片Key words
cicatricial ectropion/reconstructive surgery/inner and external canthus/full thickness skin graft分类
医药卫生引用本文复制引用
李维娟,雷泽源,王韶亮,张一鸣,樊东力..46例Ⅱ、Ⅲ度瘢痕性睑外翻手术治疗的临床分析[J].局解手术学杂志,2014,(6):596-598,3.
