关键词: Anterior lamella Eyelid defect Eyelid reconstruction Periocular reconstruction Posterior lamella Tarsus

来  源:   DOI:10.1007/s40123-022-00533-8

Abstract:
Reconstruction of eyelid defects, especially the posterior lamella, remains challenging because of its anatomical complexity, functional considerations, and aesthetic concerns. The goals of eyelid reconstruction include restoring eyelid structure and function and achieving an aesthetically acceptable appearance. An in-depth understanding of the complex eyelid anatomy and several reconstructive principles are mandatory to achieve these goals. Currently, there are multiple surgical treatment options for eyelid reconstruction, including different flaps, grafts, and combinations of them. This comprehensive review outlines the principles of reconstruction and discusses the indications, advantages, and disadvantages of currently available surgical techniques. We also propose our clinical thinking for solving specific clinical questions in eyelid reconstruction and offer perspectives on new potential methodologies in the future.
摘要:
眼睑缺损的重建,尤其是后层,由于其解剖复杂性仍然具有挑战性,功能考虑,和美学问题。眼睑重建的目标包括恢复眼睑结构和功能以及实现美学上可接受的外观。要实现这些目标,必须深入了解复杂的眼睑解剖结构和几种重建原则。目前,眼睑重建有多种手术治疗选择,包括不同的襟翼,移植物,以及它们的组合。这份全面审查概述了重建的原则,并讨论了适应症,优势,和目前可用的手术技术的缺点。我们还提出了我们的临床思维,以解决眼睑重建中的特定临床问题,并为未来的新潜在方法提供了前景。
公众号