Large Eyelid Defect Repair Using a Free Full-Thickness Eyelid Graft
نویسندگان
چکیده
Large eyelid full-thickness defects are traditionally repaired using flaps with a blood-supplying pedicle, for the reconstruction of the anterior or posterior lamella or both. This is a 2-stage procedure involving occlusion of vision in the affected eye for 4-8 weeks, as the flap pedicle is not divided until vascularization is deemed adequate. However, the importance of using a flap with a pedicle to ensure adequate perfusion of the graft has recently been questioned.
منابع مشابه
Eyelid Reconstruction Using Oral Mucosa and Ear Cartilage Strips as Sandwich Grafting
BACKGROUND The eyelid structure can be divided into an inner layer and an outer layer. Reconstruction of a full-thickness eyelid defect is accomplished by full-thickness composite tissue transfer or combined layered reconstruction. We present a new technique for inner layer reconstruction using ear cartilage and oral mucosa. METHODS The oral mucosa graft is harvested from the inner side of th...
متن کاملLower eyelid reconstruction following a traumatic full thickness loss.
Eyelid reconstruction is complex and challenging since it is not only for structural and functional restoration, but also for an acceptable aesthetic result. In full thickness eyelid injuries, it will involve both anterior and posterior lamella. Therefore, when reconstructing the defect, it requires at least two layers; one will be a flap with blood supply, and the other can be a free graft. In...
متن کاملEyelid Reconstruction with Full Thickness Skin Grafts After Carcinoma Excision.
BACKGROUND Various techniques have been proposed for reconstruction of the eyelid anterior lamella after carcinoma excision: among these are the transposition of skin flaps, and full-thickness skin grafts or combination of these two. AIM To present our experience in eyelid reconstruction with full-thickness skin grafts and to assess the aesthetic and functional outcomes. PATIENTS AND METHOD...
متن کاملBlood Perfusion in a Full-Thickness Eyelid Flap, Investigated by Laser Doppler Velocimetry, Laser Speckle Contrast Imaging, and Thermography
Purpose: The eyelid is commonly dissected and divided in the process of, for example, blepharotomy, entropion repair, or when preparing a full-thickness eyelid flap to reconstruct a tumor defect. No study has yet been conducted to examine how perfusion in an eyelid is affected by dissection, using modern imaging techniques. Methods: The eyelid was divided with a 10-mm vertical incision, 5 mm fr...
متن کاملA horizontal V-Y advancement lower eyelid flap: our experience performing a bilateral suspension to the periosteum.
BACKGROUND The authors were surprised to realize that the horizontal V-Y advancement flap of the lower eyelid is not even mentioned in the textbooks about eyelid repair, and they wanted to report their very positive experience with this subcutaneous pedicled flap. METHODS Between 2000 and 2006, 21 patients were operated on, 13 women and eight men, aged 37 to 98 years, with a mean age of 67.5 ...
متن کامل