Reversible marginal tarsorrhaphy: a salvage procedure for periocular burns.
Reversible marginal tarsorrhaphy: a salvage procedure for periocular burns.
复制标题
可逆性边缘睑板缝合术：眼周烧伤的抢救手术。
DOI：
10.1097/prs.0b013e31816c3b2f
复制
发表时间：
2008
影响因子：
3.6
通讯作者：
Engrav,LorenH
中科院分区：
文献类型：
--
作者：
Klein,MatthewB;Ahmadi,AJ;Sires,BryanS;Engrav,LorenH
烧伤眼睑的管理可以在急性和重建烧伤期间提供挑战。次优的眼睑烧伤处理可能导致潜在的破坏性并发症，包括严重的眼睑挛缩、眼睑外翻、角膜溃疡，甚至视力丧失。1-3睑板缝合术曾经被认为是大面积眼睑烧伤治疗的一部分。1，2然而，传统的睑板缝合技术会损伤眼睑，并导致进一步的并发症。随着早期切除和移植的出现，眼睑缝合术成为治疗眼睑烧伤的禁忌，现在是一种罕见的手术。Spencer等人回顾了65例眼睑烧伤患者，报告仅4例患者接受了睑板缝合术治疗。4目前的眼睑管理方案包括在受伤后的几天内进行积极的润滑，及时切除和厚的断层或全层皮肤移植。3，5-7此外，积极治疗眼睑外翻与重复移植也是现代眼睑烧伤协议的一部分。8
Management of the burned eyelid can provide challenges in both the acute and reconstructive burn periods. Suboptimal eyelid burn management can result in potentially devastating complications including severe eyelid contracture, ectropion, corneal ulceration, and even vision loss. 1–3 Tarsorrhaphy was once considered to be part of the management of extensive eyelid burns. 1, 2 However, traditional tarsorrhaphy techniques traumatized the eyelids and resulted in further complications. 2With the advent of early excision and grafting, tarsorrhaphy became taboo in the management of eyelid burns and is now an uncommon procedure. Spencer et al. reviewed 65 patients with eyelid burns and reported only four treated with tarsorrhaphy. 4 Current eyelid management protocols include aggressive lubrication in the days following injury and timely excision and skin grafting with thick split-thickness or full-thickness skin grafts. 3, 5–7 In addition, aggressive treatment of ectropion with repeated grafting is also part of modern eyelid burn protocols. 8