Autologous tissue reconstruction of tarsal plate combined with temporal flap in repairing full-thickness lower eyelid defect

VernacularTitle:自体组织再造睑板联合颞区皮瓣修复下眼睑全层缺损
Author: Ming LI ; Shaoqian LIU ; Nian CHEN ; Feijiao DUAN ; Hongju XIE
Keywords: lower eyelid defect; eyelid reconstruction; hard palate mucosa; ear cartilage; flap; transplantation
From: Journal of Central South University(Medical Sciences) 2017;42(6):662-666
CountryChina
Language:Chinese
Abstract: Objective:To evaluate the clinical effect of combination of autologous tissue reconstruction of tarsal plate with temporal flap on repair of full-thickness lower eyelid defect.Methods:Eleven patients (11 eyes) underwent hard palate mucosa or ear cartilage combined the emporal flap with the orbicularis oculi muscle to repair full-thickness defect ofpalpebra inferior.Of the 11 patients,6 had more than 75％ eyelid defect area,and 5 had more than 50％ eyelid defect area.Results:All 11 eyes closed completely,with no entropion or ectropion,and returned to normal basically.Postoperative follow-up was performed for 6 months to 5 years,3 years and 4 months on average.The function and form of eyelid remained stable.Infection,leakage or contracture was not found on reconstruction tarsus.Conclusion:Reconstruction of eyelid with autogenous hard palate mucosa or ear cartilage combined the emporal flap with the orbicularis oculi muscle is a simple,convenient and effective method.