Medpor下睑插片修复中重度下睑缺损的疗效观察

Clinical observation on the reconstruction of large areas lower eyelid defect with Medpor spacer graft

摘要:

目的：观察下睑恶性肿瘤切除术后采用Medpor下睑插片植入在修复中重度下睑缺损中的效果。

方法：选取下睑恶性肿瘤切除术后患者19例19眼，采用Medpor下睑插片植入替代睑板联合滑行结膜瓣和带蒂皮瓣移植，修复下睑全层缺损行眼睑再造术。

结果：眼睑外观修复及功能恢复满意，对眼球无刺激，对视功能无影响，术后随访6～36mo，植入物无吸收、移位、排斥及感染，肿瘤无复发。

结论：Medpor下睑插片替代睑板植入修复中重度下睑缺损简便易行，术后并发症少，是一种理想的睑板替代物。

Abstract:

AIM: To observe the effects of porous polyethylene(Medpor)as a spacer graft in the reconstruction of large areas eyelid defect after the operation of malignant tumors of lower eyelids.

METHODS: Nineteen cases(19 eyes)of malignant tumors of lower eyelid underwent the eyelid reconstruction were selected. Medpor lower eyelid inserts implantation were used to replace tarsal joint sliding conjunctival flap and pedicle flap, and repaired full-thickness lower eyelid defects then underwent eyelid reconstruction.

RESULTS: Appearance of eyelids and functional improvements were satisfactory with no stimulation on the eyeball and no effect on the visual function. Implants is with no absorption, shift, exclusion or infection and no tumor recurrence in all cases during the follow up for 6-36mo.

CONCLUSION: Medpor lower eyelid inserts implantation can instead tarsal plate for the reconstruction of medium to large areas lower eyelid defect, which is easy performing with rare complications. It is an ideal alternatives of tarsal plate.