RECONSTRUCTION OF THE TOTAL LOWER EYELID DEFECT - USEFUL MODIFICATIONS


GUZEL M., YILDIRIM I., AYGIT A., AYDIN Y. , BAYRAMICLI M.

EUROPEAN JOURNAL OF PLASTIC SURGERY, cilt.18, ss.171-174, 1995 (SCI İndekslerine Giren Dergi) identifier identifier

  • Cilt numarası: 18 Konu: 4
  • Basım Tarihi: 1995
  • Doi Numarası: 10.1007/bf00207563
  • Dergi Adı: EUROPEAN JOURNAL OF PLASTIC SURGERY
  • Sayfa Sayıları: ss.171-174

Özet

Various techniques have been used for reconstruction of extensive lower eyelid defects, but it is difficult to achieve results which are satisfactory, both from a functional and cosmetic viewpoint. In the past three years, ten patients have been reconstructed using a cheek flap over a chondromucosal graft, after extensive resection of lower eyelid tumors. As a modification of the classic method, the dermal layer of the cheek flap was sutured to the inferior orbital rim to prevent late sagging and ectropion. In addition, a tie-over pressure dressing on the inner aspect of the lid was used to give good contact between the chondromucosal graft and the flap. At a one year follow-up, the results were judged to be good, both aesthetically and functionally.