Correction of entropion from Stevens-Johnson syndrome: use of nasal septum and mucosa for severely cicatrized eyelid entropion.

Correction of entropion from Stevens-Johnson syndrome: use of nasal septum and mucosa for severely cicatrized eyelid entropion.
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史蒂文斯-约翰逊综合征引起的眼内翻矫正:使用鼻中隔和粘膜治疗严重疤痕性眼睑内翻。

DOI:
10.1001/archopht.1976.03910040066012
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发表时间:
1976
影响因子:
--
通讯作者:
A. Callahan
A. Callahan
中科院分区:
--
文献类型:
--
作者:
A. Callahan

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史蒂文斯-约翰逊综合征后结膜持续收缩导致的抵抗性内翻,尤其是上眼睑的抵抗性内翻,很难矫正。颊粘膜移植只能缓解这种情况几周或几个月。由于鼻中隔的刚性,该结构的一部分(一侧软骨膜和粘膜完整)已被移植到上眼睑后层的边缘,以使睫毛和皮肤远离眼球。术后两年多的时间里,这种鼻中隔粘膜移植术已经缓解了患者的睑内翻症状,而且从所有迹象来看,这种矫正将是永久性的。
The resistant entropion, especially of the upper lid, that results from the persistent contraction of the conjunctiva after Stevens-Johnson syndrome is difficult to correct. Grafts of buccal mucosa have relieved this condition for only a few weeks or months. Because of the rigidity of the nasal septum, a sector of this structure, with the perichondrium and mucosa intact on one side, has been grafted into the posterior layer of the upper lid at the margin to turn the lashes and skin away from the globe. For more than two years postoperatively, this graft of septal mucosa has relieved patients of their entropion, and from all indications this correction will be permanent.