J Otolaryngol Ophthalmol Shandong Univ ›› 2018, Vol. 32 ›› Issue (4): 84-86.doi: 10.6040/j.issn.1673-3770.0.2017.523

Previous Articles     Next Articles

Application of autologous orbital periosteum combined with amniotic membrane in reconstruction of eyelid defects

L(¨overU)Huiyan, ZHANG Xiuchuan, ZHOU Cunying, LI Bo, LI Weibing   

  1. Department of Ophthalmology, Rizhao Central Hospital, Rizhao 276800, Shandong, China
  • Received:2017-12-14 Online:2018-07-20 Published:2018-07-20

Abstract: Objective To observe the clinical effect of autologous orbital periosteum combined with amniotic membrance transplantation in the reconstruction of external canthal eyelid defects. Methods Twelve eyes with defects of full-thickness external canthal eyelid due to eyelid tumor were included. All subjects underwent reconstruction of the full-thickness external canthal eyelid defects using autologous orbital periosteum combined with amniotic membrane and periorbital rotation glide flaps. All patients were followed for 6 to 60 months. Results All reconstructed eyelids showed natural appearance with good function and without deformities such as eyelid margin notch, irregular contractures of the upper margin, ectropion, or entropion. The implanted periosteum was not displaced, absorbed, or infected in any patient. All flaps were well healed, and there was no relapse of the eyelid tumor. Conclusion Autologous orbital periosteum is an ideal substitute for meibomian tissue. Amniotic membrane transplantation can effectively prevent or reduce the adhesion of eyelid and eyeball as well as vault stenosis. Autologous orbital periosteum combined with amniotic membrane to reconstruct severe external canthal eyelid defects has high clinical value, and is easily obtained, simple to use, with fewer complications and excellent curative effect.

Key words: Eyelid defect, Autologous orbital periosteum, Amniotic membrance, Eyelid reconstruction

CLC Number: 

  • R779.64
[1] 朱志忠. 实用眼表病学[M]. 北京:北京科学技术出版社,2004:419-420.
[2] 李竑,张玉枝,徐怡,等. 鼻中隔软骨黏膜瓣联合眶周皮瓣在眼睑全层缺损修复中的应用[J]. 中国实用眼科杂志,2016,34(2):182-186. LI Hong, ZHANG Yuzhi, XU Yi, et al. Clinical application of the nasal septum chondro mucosal flap in reconstruction of a large full-thickness eyelid defects [J]. Chin J Prac Ophthalmol, 2016, 34(2):182-186.
[3] 胡继发,周太平,潘桔昕. 异体巩膜移植治疗眼睑恶性肿瘤术后睑板缺损的临床观察[J].国际眼科杂志,2017,17(2):373-375. HU Jifa, ZHOU Taiping, PAN Juxin. Clinical observation on allogeneic scleral transplantation for tarsus defect after the operation of eyelid malignant tumor[J]. Int Eye Sci, 2017, 17(2):373-375.
[4] 吕慧验,付婷婷,张守英. 自体眶骨膜替代睑板植入修复外眦部眼睑缺损[J]. 临床眼科杂志,2012,20(1):65-66. LYU Huiyan, FU Tingting, ZHANG Shouying. Clinical observation of autologous orbital periosteum transplantation for repairing of tarsal missing near exteral canthus[J]. J Clin Ophthalmol, 2012, 20(1):65-66.
[5] 高涛,王凯军,姜节凯. 用外侧眶骨膜瓣代替睑板行眼睑重建术[J]. 中华眼科杂志,2009,45(2):129-130. GAO Tao, WANG Kaijun, JIANG Jiekai. Reconstruction of eyelid defect using periosteal stripe from lateral orbital rim as substitute of tarsus[J]. Chin J Ophthalmol, 2009, 45(2):129-130.
[6] 陈镇国,卢纯洁,王强. 异体巩膜联合生物羊膜移植修复眼睑全层大缺损临床观察[J]. 中国实用眼科杂志,2010,28(2):143-144. CHEN Zhenguo, LU Chunjie, WANG Qiang. Allosclera and amniotic membrane transplantation for total eyelid defect[J]. Chin J Prac Ophthalmol, 2010, 28(2):143-144.
[7] 罗彤,陈丽华,王国华,等. 鼻中隔软骨在眼睑重建中的应用[J]. 山东医药,2007,47(12):35-36. LUO Tong, CHEN Lihua, WANG Guohua, et al. Application of septal cartilage in eyelid reconstruction [J]. Shandong Med J, 2007, 47(12): 35-36.
[8] 陈家祺,袁进. 羊膜手术的分类和发展趋势[J]. 眼科,2006,15(3):151-153. CHEN Jiaqi, YUAN Jin. The classification and future of amniotic membrane surgery[J]. Ophthalmol Chin, 2006, 15(3):151-153.
[1] SUN Xin-cheng, LU Guo-hua, CHEN Chen, XIE Yang. Clinical effect of hydroxyapatite orbital implantation with scelral cover at the top of hydroxyapatite [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(4): 87-89.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!