PDF(Pubmed)
Abstract：
Background: The aim of this study is to report outcomes of eyelid full-thickness skin grafting augmentation in facial nerve palsy (FNP) patients younger than 50 years of age. Methods: In a retrospective, consecutive case series, nine eyelid skin grafts performed on eight FNP patients with skin contraction (five females; median age 42 years [range, 17-47]) are presented. In most cases, upper eyelid skin grafting was combined with levator recession and anterior lamellar repositioning. Lower eyelid skin grafting was combined with lower retractors recession in all cases. Functional and cosmetic outcomes were measured preoperatively and at early (1-3 months), intermediate (3-6 months), and late (≥12 months) follow-up. Results: The corneal score improved at early follow-up (p = 0.03) and remained improved at late follow-up (p = 0.042). The gentle closure lagophthalmos was improved at late follow-up (p = 0.042). (p = 0.048). The grades of graft color, edge/skin interface, and size improved at 3-6 months post-grafting and remained improved at late follow-up (p < 0.05). Over the follow-up, four patients (50%) were recommended to have further surgical procedures. Conclusions: The preliminary results from this small cohort suggest that eyelid skin grafting is a viable option for young patients prioritizing cosmesis. This technique warrants consideration for its functional benefits.
摘要：
背景：本研究的目的是报告50岁以下面神经麻痹（FNP）患者眼睑全层植皮的结果。方法：在回顾性研究中，连续案例系列，对八名皮肤收缩的FNP患者（五名女性；中位年龄42岁[范围，17-47]）。在大多数情况下,上眼睑植皮结合提上肌凹陷和前板层复位。在所有情况下，下眼睑植皮均与下牵开器退缩相结合。术前和早期（1-3个月）测量功能和美容结果，中级（3-6个月），和晚期（≥12个月）随访。结果：角膜评分在早期随访时有所改善（p=0.03），在晚期随访时仍保持改善（p=0.042）。在后期随访时，轻度闭合的眩眼得到改善（p=0.042）。（p=0.048）。接枝颜色的等级，边缘/皮肤界面，移植后3-6个月，大小改善，随访后期仍有改善（p<0.05）。在后续行动中，4例患者(50%)被建议接受进一步的外科手术.结论：这个小队列的初步结果表明，眼睑植皮是年轻患者优先考虑美容的可行选择。这项技术值得考虑其功能优势。
