Analysis of one-stage surgical repair for the full-thickness eyelid multiple injuries

Jiu Xudong, Li Wenjie
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Abstract

Objective To analyze the one-stage surgical repair method and clinical efficacy for the treatment of full thickness injuries multiple of eyelid. Methods The data of 92 eyes of 92 cases with multiple injuries of eyelid full thickness from Jan.2015 to Dec.2015 were analyzed retrospectively. The lacerated wound of eyelid full thickness was repaired with three stitch suture, horizontal and vertical mattress suture. Patients who were accompanied with lacrimal canalicular rupture, musculus levator palpebrae superioris fracture and ligament fracture were separately adopted lacrimal canalicular anastomosis, eyelid defect repair and ligament reduction. Results All cases successfully performed emergency surgery repair, no demonstrated wound infection occurred. All the wound of patients healed after one-stage surgical repair. After 6 months of follow-up, eyelid appearance, closure and motor function recovered well in 96.7%(89/92). Conclusion A correct, timely and delicate surgery can make most eyelid lacerations repaired well after one-stage operation. According to the condition of the patient of multiple eyelid injuries and choose the appropriate surgical methods for repair. Key words: Trauma, eyelid, multiple; Repair, surgical; One-stage
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全层眼睑多发伤一期手术修复分析
目的分析眼睑全层损伤多发部位一期手术修复方法及临床疗效。方法回顾性分析2015年1月~ 2015年12月92例眼睑全厚多发伤92只眼的资料。采用三针缝合、横垫缝合、纵垫缝合修复眼睑全厚撕裂伤。合并泪小管破裂、提上睑肌骨折、韧带骨折的患者分别行泪小管吻合、眼睑缺损修复、韧带复位。结果所有病例均顺利完成手术修复,无明显创面感染发生。手术一期修复后伤口全部愈合。随访6个月后,96.7%(89/92)的患者眼睑外观、闭合及运动功能恢复良好。结论正确、及时、精细的手术可使眼睑撕裂伤一期修复良好。根据患者多眼睑损伤的情况,选择合适的手术方法进行修复。关键词:外伤,眼睑,多发;修复手术;单程
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