未经授权:自由双层自体移植(FBA)程序包括收获自由,全层的眼睑组织从患者的一个健康的眼睑重建涉及眼睑的一个大的缺陷。不采用血管增强。这项研究的目的是确定该程序的结构和外观结果。
未经评估:进行了一系列案例,观察接受FBA手术的患者,在2009年至2020年期间,在单个眼整形手术中心的全层眼睑缺损(>50%的眼睑长度)。基底细胞癌最常符合该程序的标准。OHSN-REB放弃了伦理批准。所有手术均由一名外科医生进行。一个单一的操作,详细报道了手术步骤,在理想的1天完成后续文档,1周,1个月,3个月,6个月,和1年。平均随访期为28个月。
未经证实:31名患者(17名男性,14名女性,平均年龄78岁)纳入病例系列。合并症包括糖尿病和吸烟。大多数患者已知从上眼睑或下眼睑切除了基底细胞癌。受体和供体部位的平均宽度分别为18.8和11.5毫米,分别。所有31例FBA手术在结构上具有功能性,美观,和可行的眼睑。六名患者出现了轻微的移植物裂开,3发展了外翻,1例继发于冻伤的轻度浅表移植物坏死,完全康复了。确定了三个愈合阶段。
UNASSIGNED:此案例系列增加了有关自由双层自体移植程序的当前稀疏数据。手术技术清楚地铰接和说明。FBA手术是重建全层上下眼睑缺损的当前手术技术的简单有效替代方法。FBA提供功能和外观上的成功,尽管没有完整的血液供应,减少手术时间和更快的恢复。
UNASSIGNED: The free bilamellar autograft (FBA) procedure involves harvesting a free, full-thickness section of eyelid tissue from one of the patient\'s healthy eyelids to reconstruct a large defect of the involved eyelid. No vascular augmentation is employed. The purpose of this study was to determine the structural and cosmetic results of this procedure.
UNASSIGNED: A
case series was performed, looking at patients who underwent the FBA procedure for large, full-thickness eyelid defects (>50% eyelid length) between 2009 and 2020 at a single oculoplastic surgical centre. Basal cell carcinomas most frequently met criteria for the procedure. OHSN-REB waived ethics approval. All surgeries were performed by one surgeon. A single operation, with surgical steps reported in detail, was completed with follow-up documentation at ideally 1 day, 1 week, 1 month, 3 months, 6 months, and 1 year. The mean follow-up period was 28 months.
UNASSIGNED: Thirty-one patients (17 males, 14 females, mean age 78-years-old) were included in the
case series. Comorbidities included diabetes and smoking. Most patients had known basal cell carcinomas removed from the upper or lower eyelid. The mean widths of the recipient and donor sites were 18.8 and 11.5 mm, respectively. All 31 FBA surgeries resulted in structurally functional, cosmetically pleasing, and viable eyelids. Six patients developed minor graft dehiscence, 3 developed an ectropion, and 1 developed mild superficial graft necrosis secondary to frostbite, which fully recovered. Three healing phases were identified.
UNASSIGNED: This
case series adds to the currently sparse data on the free bilamellar autograft procedure. The surgical technique is clearly articulated and illustrated. The FBA procedure is a simple and efficient alternative to current surgical techniques in the reconstruction of full-thickness upper and lower eyelid defects. The FBA provides functional and cosmetic success, despite the absence of an intact blood supply, with decreased operative time and faster recovery.