EYELID RECONSTRUCTION WITH HARD PALATE MUCOSA GRAFTS

被引:105
作者
COHEN, MS
SHORR, N
机构
[1] Department of Oculoplastic Surgery, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA
[2] Department of Oculoplastic Surgery, Jules Stein Eye Institute, UCLA, Los Angeles, CA
关键词
EYELID; HARD PALATE MUCOSA GRAFT; EYELID RETRACTION; CICATRICIAL ENTROPION; LAGOPHTHALMOS;
D O I
10.1097/00002341-199209000-00005
中图分类号
R77 [眼科学];
学科分类号
100212 [眼科学];
摘要
Hard palate mucosa grafts are an excellent replacement for tarsus and conjunctiva in eyelid reconstruction. Twenty-five eyelids from 18 patients underwent eyelid reconstruction using hard palate mucosa grafts. Patients were treated for a variety of disorders including postblepharoplasty lower eyelid retraction, cicatricial entropion, eyelid retraction secondary to thyroid eye disease, and lagophthalmos following surgery for paralytic ptosis. Surgical results were evaluated, grafts were measured for postoperative shrinkage, and donor site healing was recorded. Several patients had hard palate biopsy specimens evaluated. One of these patients also had a graft biopsied after it had been in place for 3 months. A review of hard palate anatomy and histology and a discussion of surgical technique are presented.
引用
收藏
页码:183 / 195
页数:13
相关论文
共 33 条
[1]
Hall H.D., O'steen A.N., Free grafts of palatal mucosa in mandibular vestibuloplasty, J. Oral Surg, 28, pp. 565-574, (1970)
[2]
Morgan L.R., Gallegos L.T., Frileck S.P., Mandibular vesti-buloplasty with a free graft of the mucoperiosteal layer from the hard palate, Plast Reconstr Surg, 51, pp. 359-363, (1973)
[3]
Vecchione T.R., Palatal grafts for lip reconstruction, Ann Plast Surg, 10, pp. 301-305, (1983)
[4]
Siegel R.F., Palatal grafts for eyelid reconstruction, Plast Reconstr Surg, 76, pp. 411-414, (1985)
[5]
Silver B., The use of mucous membrane from the hard palate in the treatment of trichiasis and cicatricial entropion, Ophthalmic Plast Reconstr Surg, 2, pp. 129-131, (1986)
[6]
Bartley G.B., Kay P.P., Posterior lamellar eyelid reconstruction with hard palate mucosal graft, Am J Ophthalmol, 107, pp. 609-612, (1989)
[7]
Kersten R.C., Kulwin D.R., Levartovsky S., Tiradellis H., Tse D.T., Management of lower-lid retraction with hard palate mucosa grafting, Arch Ophthalmol, 108, pp. 1339-1343, (1990)
[8]
Liebgott B., The Anatomical Basis of Dentistry, (1982)
[9]
Sicher H., Oral Anatomy, (1965)
[10]
Provcnza D.V., Fundamentals of Oral Histology and Embryology, (1972)