Upper eyelid reconstruction: a short report of an eyelid defect following a thermal burn
While the principles of eyelid reconstruction are well-established, achieving good functional and aesthetic reconstruction remains challenging .This communication presents a technique that we used on a young patient with an eyelid defect following a thermal burn. The patient was operated on to reconstruct the entire upper eyelid using, as a posterior lamella, a mucochondrial autologous graft taken from the ala of the nose as a tarsus and conjunctiva substitutes that were sutured to the Elevator palpebrae superioris aponeurosis and muscle.
On the other hand, to reconstruct the anterior lamella, which consists of skin and muscle, the surgeons used a myocutaneous temporal flap taken from the region immediately lateral to the external canthus of the palpebral region, and which, after being isolated following a drawing of the upper eyelid to be reconstructed, was rotated and then sutured to the posterior lamella using the orbicularis oculi muscle as a pedicle.
Author: Francesco InchingoloMarco TatulloFabio AbenavoliMassimo MarrelliAlessio InchingoloRoberto CorelliAngelo InchingoloDipalma Gianna
Credits/Source: Head &Face Medicine 2009, 5:26
Published on: 2009-11-25
Copyright by the authors listed above - made available via BioMedCentral (Open Access). Please
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