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1989年以来,我们对部分眼睑肿瘤作全层眼睑切除后的病例,采用异体巩膜代替睑板作眼睑成形术5眼,获得美容和功能恢复,介绍如下。巩膜材料选用无恶性肿瘤、绝对期青光眼、因外伤而摘除的眼球。清除巩膜表层组织、角膜、视神经和眼内容及色素膜后,浸入纯甘油内,24小时后更换甘油保存备用。使用时取出巩膜,用生理盐水加庆大霉素8万单位浸泡30分钟待用。5例5眼均为门诊病人,均为女性,年龄最大68岁,最小43岁,上睑2例,上睑3例,右眼3例,左眼2例。诊断均为基底细胞癌。肿瘤最大15×10×5mm,最小10×8×4mm。眼睑缺损达2/3者2例,达1/2者2例,1例眼睑缺损小于1/2。手术时在肿物各边超出肿瘤1mm 作长方形眼睑全层切除(如为上睑,上切缘轮匝肌下找出提上睑
Since 1989, we have performed partial resection of the eyelid on some eyelid tumors using a scleral instead of the tarsal plate for 5 eyelid plasty to achieve cosmetic and functional recovery as described below. Scleral selection of non-malignant tumor materials, absolute glaucoma, removal of the eye due to trauma. Clear the scleral surface tissue, cornea, optic nerve and eye content and pigment film, immersed in pure glycerol, glycerol replacement 24 hours later reserved. Remove the sclera when used, with saline and gentamicin 80,000 units soak for 30 minutes. All 5 cases were outpatients, all female. The oldest was 68 years old and the youngest was 43 years old. There were 2 cases of upper eyelid, 3 cases of upper eyelid, 3 cases of right eye and 2 cases of left eye. Diagnosis is basal cell carcinoma. The largest tumor 15 × 10 × 5mm, the smallest 10 × 8 × 4mm. Eyelid defects up to 2/3 in 2 cases, up to 1/2 in 2 cases, 1 case of eyelid defect less than 1/2. Surgery at the tumor beyond the tumor 1mm rectangular resection of the full thickness of the eyelids (such as the upper eyelid, the upper edge of the orbicularis muscle to find the upper eyelid