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자가 주상와연골 (Autogenous scapha cartilage) 이식을 이용한 하안검 내반증의 교정
임 풍,염원석,이석기,한기택 大韓成形外科學會 1996 Archives of Plastic Surgery Vol.23 No.5
The lower eyelid entropion is characterized by a turning inward of the eyelid margin. Ocular inflammation and tearing may result from lashes or keratinized epithelium. Moreover inversed lower eyelids are considered one of the cosmetic defects. To correct an entropion surgically, the procedure should be chosen individually. Simple excision, suture repair, marginal rotation and tarsal strip procedure may be considered, but in cases of cicatrical entropion or lower lid defect, the main surgical principle involves release of scarred tissue and replacement of the deficient tissue with appropriate graft. We used scapha cartilage only as a spacer, in patients with cicatrical entropion or involutional entropion. The result was satisfactory and the raw surface of the graft facing to the eyeball was epithelialized from the surrounding mucosa within a couple of weeks. We report our concept of scapha cartilage graft and simple technique for the treatment of cicatrical entropion or entropion caused by lower lid defect .
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변준희,이종건,염원석,임풍,이종원 大韓成形外科學會 1998 Archives of Plastic Surgery Vol.25 No.3
Malignant tumors of the eyelid pose a serious threat because of their proximity to the globe, brain & paranasal sinuses. Three types of carcinomas account for the vast majority of the malignant eyelid tumors: basal cell carcinoma, squamous cell carcinoma, and sebaceous gland carcinoma. In these malignancies, basal cell carcinoma is the most common. However, sebaceous gland carcinoma has a high recurrence rate and a moderately high 5-year mortality rate because of late diagnosis and incomplete surgical removal. This tumor may be clinically misdiagnosed frequently as a chronic unilateral conjunctivitis, chalazion, basal cell carcinoma, or squamous cell carcinoma in initial biopsy. Suspicious lid lesions should be managed with incisional biopsy initially. If they are positive for sebaceous gland carcinoma, wide excision and frozen section monitoring of surgical margin is the treatment of choice. The final diagnosis should be confirmed by special stain for lipid. We experienced 12 cases of malignant eyelid tumors including 3 cases of sebaceous gland carcinoma. In cases of sebaceous gland carcinoma, wide surgical excision with frozen section monitoring was performed and followed by eyelid reconstruction with intact eyelid tissue remained and adjuvant radiotheraphy. Guidelines for management are discussed.
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