背景:眼睑是重要的结构,在保护地球免受创伤方面发挥作用,亮度,在保持泪膜的完整性和向泪液引流系统移动眼泪,并有助于面部的美学外观。眼外伤是个体发病的重要原因,也是医疗保健额外费用的原因。最近发现涉及眼睑和相邻结构的眼周创伤有所增加,这可能是由于生活节奏的增加和对机械的依赖性增加。对眼周创伤进行全面分类将有助于对这些损伤以及研究结果进行分层。
方法:本研究于2015年6月至2015年12月在我院进行。我们在多个英语数据库中搜索了现有的眼周创伤分类系统。我们设计了一个基于临床解剖学表现的眼周软组织损伤分类系统。该分类前瞻性地应用于我们部门出现眼周软组织损伤的患者。
结果:设计了一个综合分类方案,包括五种眼周损伤类型。在这项研究中,对34例患者中的38例眼睑损伤进行了评估。根据眼周创伤(SPOT)分类系统,V型损伤最为常见。SPOTII型伤害是所有区域中更常见的孤立伤害。
结论:分类系统是必要的,以便提供一个科学地研究病因的框架,发病机制,有序治疗疾病。SPOT分类考虑了眼周软组织损伤,即上眼睑,下眼睑,内侧和外侧can损伤。,根据观察到的眼睑损伤的临床解剖模式。
结论:SPOT分类似乎是解决眼睑损伤的可靠系统。这种分类方案将指导眼科和面部重建外科医生在眼睑损伤中提供最佳结果。在分类方案和现有文献综述的基础上,提出了一种便于修复和重建的算法。
BACKGROUND: Eyelids are important structures and play a role in protecting the globe from trauma, brightness, in maintaining the integrity of tear films and moving the tears towards the lacrimal drainage system and contribute to aesthetic appearance of the face. Ophthalmic trauma is an important cause of morbidity among individuals and has also been responsible for additional cost of healthcare. Periocular trauma involving eyelids and adjacent structures has been found to have increased recently probably due to increased pace of life and increased dependence on machinery. A comprehensive classification of periocular trauma would help in stratifying these injuries as well as study outcomes.
METHODS: This study was carried out at our institute from June 2015 to Dec 2015. We searched multiple English language databases for existing classification systems for periocular trauma. We designed a system of classification of periocular soft tissue injuries based on clinico-anatomical presentations. This classification was applied prospectively to patients presenting with periocular soft tissue injuries to our department.
RESULTS: A comprehensive classification scheme was designed consisting of five types of periocular injuries. A total of 38 eyelid injuries in 34 patients were evaluated in this study. According to the System for Peri-Ocular Trauma (SPOT) classification, Type V injuries were most common. SPOT Type II injuries were more common isolated injuries among all zones.
CONCLUSIONS: Classification systems are necessary in order to provide a framework in which to scientifically study the etiology, pathogenesis, and treatment of diseases in an orderly fashion. The SPOT classification has taken into account the periocular soft tissue injuries i.e., upper eyelid, lower eyelid, medial and lateral canthus injuries., based on observed clinico-anatomical patterns of eyelid injuries.
CONCLUSIONS: The SPOT classification seems to be a reliable system to address eyelid injuries. This classification scheme would guide the ophthalmic and facial reconstructive surgeons to provide optimal outcomes in eyelid injuries. Based on the classification scheme and review of existing literature, an algorithm is presented to facilitate repair and reconstruction.