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Journal articles on the topic 'Eyelid reconstruction'

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Author: Grafiati

Published: 10 December 2022

Last updated: 29 January 2023

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1

Altin Ekin, Meryem, and Seyda Karadeniz Ugurlu. "Effect of Eyelid Involvement in the Reconstruction of Medial Canthal Defects." Facial Plastic Surgery 35, no. 04 (August 2019): 410–19. http://dx.doi.org/10.1055/s-0039-1694722.

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AbstractThe purpose of this study was to present surgical techniques for the reconstruction of medial canthal defects with and without the involvement of the eyelid. This study included 31 patients who underwent medial canthal reconstruction after tumor excision during a 6-year period. Data regarding patient demographics, defect size, tumor pathology, surgery techniques, functional and cosmetic outcomes, and complications were recorded. The reconstructive methods used in the study were divided into groups as per the site of the defect (medial canthal, medial canthal with upper eyelid, medial canthal with lower eyelid, and medial canthal with both eyelids). The most common histopathological diagnosis of the lesions was basal cell carcinoma (74.2%). Postoperative complications (6.4%) included flap necrosis in one patient and lid margin notching in another. Among patients who underwent reconstruction, 8 (25.8%) had only medial canthal defect, 6 (19.3%) had medial canthal defect extending to the upper eyelid, 7 (22.6%) had medial canthal defect extending to the lower eyelid, and 10 (32.3%) had medial canthal defect extending to both the eyelids. The functional outcome was regarded as normal in 30 (96.8%) patients and limited in 1 (3.2%) patient. Cosmetic outcomes were satisfactory in all the patients. The use of alternative reconstructive approaches for different subunits of the medial canthus is an efficient method to achieve superior functional and cosmetic outcomes.

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Banshchikov, P. A., O. V. Kolenko, V. V. Egorov, and G. P. Smoliakova. "Complex surgical reconstruction of the ocular surface, eyelids, lacrimal ducts and orbit after severe combined injury (clinical case)." Modern technologies in ophtalmology, no. 2 (April 13, 2022): 204–10. http://dx.doi.org/10.25276/2312-4911-2022-2-204-210.

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The article presents clinical case of severe combined injury ocular surface, ocular adnexa, lacrimal duct, orbital walls. The article describes a staged complex surgical rehabilitation, performed in the Khabarovsk branch of the S. Fyodorov Eye Microsurgery Federal State Institution: of orbital walls with “Ekoflon” material (Russia), of lacrimal duct by Taumi method, of medial palpebral ligament, of upper eyelid coloboma with free skin graft; locomotory stump and ocular cosmetic prosthesis after evisceration. In the long-term period (14 months), restoration of the eyelids anatomy, the measures of the palpebral fissure, the mobility of the upper eyelid, positive function of lacrimation, normal positioning and good eye prosthesis movement was noted. Keywords: combined ocular injury, reconstructive and cosmetic eyelid surgery, lacrimal duct reconstruction; periorbital reconstruction; eye prosthesis.

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3

Gujjalanavar, Rajendra Suresh, and Girish A.C. "Total upper and lower eyelid reconstruction using deltopectoral flap." Indian Journal of Plastic Surgery 46, no. 03 (September 2013): 581–83. http://dx.doi.org/10.4103/0970-0358.122026.

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ABSTRACTTotal upper and lower eyelid unilateral full thickness reconstruction is a surgical challenge. A case of right orbital haemangioma with unilateral complete defect of total upper and lower eyelids with right orbital exenteration is reported, together with the surgical technique of reconstruction. Patient was a 24-year-old female who underwent right orbital exenteration with total upper and lower eyelid excision for orbital haemangioma presented after 3 weeks of the above procedure. In the first stage split thickness skin grafting is used to resurface orbital cavity raw area followed by staged reconstruction of total upper and lower eyelid reconstruction using pedicle deltopectoral flap. This reconstruction provided stable eyelid reconstruction to retain ocular prosthesis with concealed and minimal donor area. After reconstruction patient underwent rehabilitation with ocular prosthesis, now the patient is satisfied with cosmetically acceptable results.

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Patel, Sagar, and Kamel Itani. "Review of Eyelid Reconstruction Techniques after Mohs Surgery." Seminars in Plastic Surgery 32, no. 02 (May 2018): 095–102. http://dx.doi.org/10.1055/s-0038-1642058.

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AbstractMohs micrographic surgery achieves high cure rates while preserving healthy tissue making it the optimal treatment for skin cancer. The goals of eyelid reconstruction after Mohs surgery include restoring eyelid structure and function while attaining acceptable aesthetic results. Given the variety of eyelid defects encountered after Mohs surgery, a thorough understanding of the complex eyelid anatomy as well as an in-depth knowledge of the numerous reconstructive techniques available are required to accomplish these reconstructive goals. In this article, the authors review eyelid anatomy and discuss a variety of techniques used for the reconstruction of defects involving the periocular region.

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5

Hübner, H. "Eyelid reconstruction." Orbit 4, no. 1-2 (January 1985): 21–32. http://dx.doi.org/10.3109/01676838509019219.

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6

Afrooz, Paul N. "Eyelid Reconstruction." Plastic & Reconstructive Surgery 148, no. 5 (September 28, 2021): 1169–70. http://dx.doi.org/10.1097/prs.0000000000008501.

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7

Alghoul, Mohammed, Salvatore J. Pacella, W. Thomas McClellan, and Mark A. Codner. "Eyelid Reconstruction." Plastic and Reconstructive Surgery 132, no. 2 (August 2013): 288e—302e. http://dx.doi.org/10.1097/prs.0b013e3182958e6b.

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8

Chang, Edward I., Bita Esmaeli, and Charles E. Butler. "Eyelid Reconstruction." Plastic and Reconstructive Surgery 140, no. 5 (November 2017): 724e—735e. http://dx.doi.org/10.1097/prs.0000000000003820.

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9

Alghoul, Mohammed S., Aaron M. Kearney, Salvatore J. Pacella, and Chad A. Purnell. "Eyelid Reconstruction." Plastic and Reconstructive Surgery - Global Open 7, no. 11 (November 2019): e2520. http://dx.doi.org/10.1097/gox.0000000000002520.

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10

Yelin, Julie Beth, Brenda J. Clayton-Dyer, Aresu Naderi, and Bita Esmaeli. "Eyelid Reconstruction." Plastic Surgical Nursing 21, no. 4 (2001): 192–95. http://dx.doi.org/10.1097/00006527-200121040-00005.

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11

Sassoon, Elaine M., and Mark A. Codner. "Eyelid reconstruction." Operative Techniques in Plastic and Reconstructive Surgery 6, no. 4 (November 1999): 250–64. http://dx.doi.org/10.1016/s1071-0949(99)80006-7.

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12

&NA;. "EYELID RECONSTRUCTION." Ophthalmic Plastic & Reconstructive Surgery 9, Supplement (January 1993): 24–26. http://dx.doi.org/10.1097/00002341-199301001-00011.

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13

Lo Torto, Federico, Luigi Losco, Nicoletta Bernardini, Manfredi Greco, Gianluca Scuderi, and Diego Ribuffo. "Surgical Treatment with Locoregional Flaps for the Eyelid: A Review." BioMed Research International 2017 (2017): 1–10. http://dx.doi.org/10.1155/2017/6742537.

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Reconstruction of the eyelids after skin cancer excision can be challenging. Surgical treatment options are multiple; deep anatomy knowledge of lamellar components is mandatory to choose the most adequate surgical planning. Eyelids’ role in vision and social relationship is critical; both function and aesthetics are tough to restore. Using a flap provides a satisfying texture and colour match with adjacent tissues and ensures short contraction during healing; furthermore, grafts are sometimes necessary to achieve pleasing results. Hundreds of surgical techniques have been described aiming for eyelid reconstruction; in our paper, we want to provide for our audience the most reliable and useful procedures for subtotal and total eyelid reconstruction following NMSC full-thickness excision.

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14

Guthrie, Ashley, Pooja Kadakia, and Joshua Rosenberg. "Eyelid Malposition Repair: A Review of the Literature and Current Techniques." Seminars in Plastic Surgery 33, no. 02 (April 26, 2019): 092–102. http://dx.doi.org/10.1055/s-0039-1685473.

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AbstractEyelid malposition is a challenging problem faced by surgeons. Given the delicate nature of the eyelid and its complex anatomy, eyelid repair requires both a comprehensive understanding of eyelid anatomy along with thorough presurgical planning and surgical execution. A wide range of options is available for eyelid reconstruction but the location and extent of the deformity often dictate the type of repair. This article is a review of commonly encountered forms of eyelid malposition. Relevant reconstructive techniques and current evidence-based methods of reconstruction are discussed in detail. Anatomical considerations, the nature of specific defects, pearls of preoperative evaluation, and the reconstructive options available to the facial plastic and oculoplastic surgeon are outlined. Topics discussed include ectropion, entropion, eyelid retraction, and blepharoptosis.

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15

Okonkwo, Sunday Nnamdi. "Management of a Case of Severe Upper and Lower Eyelid Cicatricial Ectropion Presenting 11 Years Post Thermal Burn Injury." Scholars Journal of Medical Case Reports 9, no. 11 (November 24, 2021): 1101–4. http://dx.doi.org/10.36347/sjmcr.2021.v09i11.016.

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Eyelid reconstruction in burned patients with cicatricial ectropion are difficult to manage and repeat operations are not uncommon. Early surgical intervention when needed is necessary to prevent cornea exposure and ulceration that could lead to blindness. Herein a case of very severe post thermal burn cicatricial ectropion of the left upper and lower eyelids that presented 11 years post thermal injury is reported and possible factors responsible for poor eyelid function post reconstruction highlighted.

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Griffin, L. Ashley, and Benjamin C. McIntyre. "Reconstruction of Combined Full-Thickness Defect of the Lateral Canthus and Lateral Upper and Lower Third Eyelids With an Extended Modification of the Fricke Flap, Periosteal Flap, and Conjunctival Flap." Plastic Surgery Case Studies 5 (January 1, 2019): 2513826X1987945. http://dx.doi.org/10.1177/2513826x19879454.

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Introduction: The Fricke flap was originally described in 1829 as a laterally based flap from the temporal region that could be used to reconstruct potentially total lower eyelid defects. There have been a few minor modifications of this flap to allow for adjustments of the donor site scar, but none that address the sequelae of brow elevation and allow for reconstruction of a composite defect of the lateral canthus, lateral upper, and lower eyelids. We report our modification of the Fricke flap that allows for total reconstruction of these structures. Clinical Report: A 61-year-old male presented with composite defect of the lateral eyelids and canthus following resection of a basal cell carcinoma by Mohs technique. A Fricke flap was designed and modified to included elements of the above brow and below brow skin as an additional pennant flap. A “Y” shaped periosteal flap and inferior fornix conjunctival flap were also used to reconstruct the posterior lamella. Our surgical technique and follow-up are demonstrated. Discussion: Lateral eyelid and canthal reconstruction can be difficult to reconstruct with a single rotational flap from local sources. We describe our technique of modifying the Fricke flap to include an additional pennant of below brow skin that can be used to reconstruct the lateral eyelids and canthus allowing for a crisp lateral eyelid crease and acceptable donor site and aesthetic appearance. Conclusions: This is the first description of a modification of the Fricke flap that allows for total lateral eyelid and canthus reconstruction.

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17

Shlyakhtov, M. I., M. E. Novikova, and K. G. Naumov. "Free skin plastic as a way to eliminate cicatricial ectropion of the lower eyelid (a clinical case)." Reflection, no. 1 (June 7, 2022): 127–31. http://dx.doi.org/10.25276/2686-6986-2022-1-127-131.

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Abstract. Cicatricial eyelids deformations associated with fractures of orbital walls may result in development of eyelids ectropion and lagophthalmos. Gaping of the eye slit results in secondary lesions of the cornea and a decrease of visual acuity which requires reconstructive plastic surgery with skin flaps transplantation. This report presents a case of cicatricial lower eyelid ectropion elimination after osteosynthesis with metal implant for a fracture of zygomatic orbital complex and lower orbital wall using full-thickness skin flap from preauricular face zone. The paper presents step-by-step description of the surgical technique as well as of the early and late post-op period. As the result of surgery, complete engraftment of the skin graft, elimination of ectropion, restoration of eyelids excursion and closing were achieved. Use of full-thickness skin autograft from preauricular face zone is an adequate choice in reconstructive surgery of the eyelids. The graft has high viability providing minimal risk of rejection. The technique is simple to perform and provides high functional and aesthetic results. Key words: cicatricial ectropion of the lower eyelid; full-thickness skin graft; reconstruction of the eyelids.

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18

Vathulya, Madhubari, Nishank Manohar, Manish Pradip Jagtap, Vishal Mago, and Praveen A. Jayaprakash. "Dynamic Upper Eyelid Reconstruction for Total Periorbital Soft Tissue Loss." Archives of Plastic Surgery 49, no. 03 (May 2022): 319–23. http://dx.doi.org/10.1055/s-0042-1748639.

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AbstractTotal eyelid defect comprises full-thickness loss of both upper and lower eyelids in a patient. It is a rare and devastating condition with serious implications related to vision, which mandates early and functional reconstruction when associated with intact globe. The primary goal is to give a stable coverage for orbital protection but at the same time provide a functional reconstruction of the defect, to allow for adequate mobility of the eyelids so that the patient's vision is restored to normal with minimal disability. When the defect is massive, and in the absence of loco-regional flaps, microvascular tissue transfer is needed. In this report we describe a radial-artery-based microvascular tissue transfer with a unique innovation utilizing the contralateral frontalis muscle to reconstruct a case of unilateral total upper and lower eyelid loss.

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19

DiFrancesco, Lisa M., Mark A. Codner, and Clinton D. McCord. "Upper Eyelid Reconstruction." Plastic and Reconstructive Surgery 114, no. 7 (December 2004): 98e—107e. http://dx.doi.org/10.1097/01.prs.0000142743.57711.48.

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20

Alghoul, Mohammed S., Jonathan T. Bricker, Elbert E. Vaca, and Chad A. Purnell. "Lower Eyelid Reconstruction." Plastic and Reconstructive Surgery 144, no. 2 (August 2019): 443–55. http://dx.doi.org/10.1097/prs.0000000000005882.

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21

Malik, Mohsan M., and Kaveh Vahdani. "Lower Eyelid Reconstruction." Plastic and Reconstructive Surgery 145, no. 4 (April 2020): 877e—878e. http://dx.doi.org/10.1097/prs.0000000000006665.

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22

Chandler, Damon B., and Roberta E. Gausas. "Lower Eyelid Reconstruction." Otolaryngologic Clinics of North America 38, no. 5 (October 2005): 1033–42. http://dx.doi.org/10.1016/j.otc.2005.03.006.

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23

Espinoza, Gabriela Mabel, and Angela Michelle Prost. "Upper Eyelid Reconstruction." Facial Plastic Surgery Clinics of North America 24, no. 2 (May 2016): 173–82. http://dx.doi.org/10.1016/j.fsc.2015.12.007.

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24

Holds, John B. "Lower Eyelid Reconstruction." Facial Plastic Surgery Clinics of North America 24, no. 2 (May 2016): 183–91. http://dx.doi.org/10.1016/j.fsc.2016.01.001.

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25

RODRIGUEZ-SAINS, RENE. "Lower Eyelid Reconstruction." Journal of Dermatologic Surgery and Oncology 14, no. 5 (May 1988): 515–19. http://dx.doi.org/10.1111/j.1524-4725.1988.tb01145.x.

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26

Stein, John D., and Oleh M. Antonyshyn. "Aesthetic Eyelid Reconstruction." Clinics in Plastic Surgery 36, no. 3 (July 2009): 379–97. http://dx.doi.org/10.1016/j.cps.2009.02.011.

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27

CALHOUN, K. H. "Lower Eyelid Reconstruction." Archives of Otolaryngology - Head and Neck Surgery 115, no. 4 (April 1, 1989): 423. http://dx.doi.org/10.1001/archotol.1989.01860280017005.

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28

Llave, Heriberto Garza de la, Jose De Jesus Orozco-Grados, Carlos Eduardo Rodriguez, and Enrique Chavez-Serna. "Skin graft of contralateral aesthetic unit for reconstruction of the upper eyelid: case report and literature review." International Journal of Research in Medical Sciences 9, no. 2 (January 29, 2021): 599. http://dx.doi.org/10.18203/2320-6012.ijrms20210451.

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Eyelids represent a complex structure; its principal function is to provide physical and immunological barrier. The complexity of this structure lies in the blinking and in the range of movement they carry out respecting the integrity of the cornea. The objective of this study is to provide a surgical alternative with minimal morbidity for the reconstruction of the upper eyelid, as well as to present the available tools for the treatment of this complex area of the facial anatomy. We present the case of a female patient of 62 years, with 50% of necrosis on the surface of the upper eyelid and infection data, surgical management was initiated with debridement, systemic antibiotic therapy and negative pressure system device, once the infectious process was resolved and according to the principles of reconstruction by aesthetic subunits, it was decided to reconstruct 100% of the subunit affected by a skin graft of total thickness of the contralateral eyelid through a blepharoplasty with good aesthetic-functional results. The reconstruction of the eyelids should be managed by a plastic surgeon, taking into account the principles of the aesthetic subunits, optimally the donor tissue should have similarity with the tissue to be reconstructed, with respect to the size, color and flexibility, to obtain an adequate aesthetic and functional result.

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29

Malviya, Vikas, Sakshi Goyal, and Vishal Bansal. "Reconstruction of Lower Eyelid with Nasolabial Flap for Anterior Lamella and Turnover Flap for Posterior Lamella." Surgery Journal 08, no. 01 (January 2022): e56-e59. http://dx.doi.org/10.1055/s-0041-1742177.

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AbstractReconstruction of full-thickness eyelid defects is done to provide a mobile lid with corneal protection, having good aesthetic quality, and acceptable donor site morbidity. Various flap procedures have been described and used for the lower eyelid reconstruction; however, the nasolabial flap is rarely employed. It is a random pattern cutaneous flap with redundant blood supply from the perforating branches of the facial and angular arteries and can be used as an inferiorly or superiorly based flap. Here, we aim to present the clinical results of using the superiorly based nasolabial island flap for reconstruction of anterior lamella and turnover/hinge flap of infraorbital skin and palpebral conjunctiva with support of conchal cartilage for reconstruction of posterior lamella for lower eyelid defect. To our best knowledge, this reconstructive combination of flaps has not been described previously for total and full-thickness posttraumatic defect of lower eyelid.

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Rahmi, Duman, Balcı Mehmet, Başkan Ceyda, and Özdoğan Sibel. "Management of the Large Upper Eyelid Defects with Cutler-Beard Flap." Journal of Ophthalmology 2014 (2014): 1–4. http://dx.doi.org/10.1155/2014/424567.

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Background.To assess Cutler-Beard procedure results in patients after wide excision of malignant eyelid tumours.Materials and Methods.The records of two women and two men (four patients) referred to our clinic with eyelid mass complaints and malign eyelid tumour diagnosis according to the histopathological examination were examined retrospectively.Results.The patients were 60–73 years old and their average age was66±11.10. The follow-up period of the cases was 16 (6–25) months. Total excisional biopsy was applied to all patients and then Cutler-Beard full thickness lid reconstruction was done because of the wide localization of the tumour. The patients’ diagnoses were consistent with basal cell carcinoma, sebaceous gland carcinoma, eyelid lymphoma, and squamous cell carcinoma. The patients’ eyelids were separated from each other 1 month postoperatively with a second operation. Superior eyelid entropium and blepharochalasis were seen in one patient during followup.Conclusions.Cutler-Beard flap is a successful procedure for superior eyelid tumours accompanied by wide tissue loss. The long-time closure of the eyelids and the need for secondary surgery are the major disadvantages of this procedure. Our experience with this procedure will reveal better results with large case series.

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31

Wiryulisda, Deny, and Hendriati. "The Outcomes of Lower Eyelid Reconstruction after Carcinoma Excision: Case Series." Bioscientia Medicina : Journal of Biomedicine and Translational Research 6, no. 11 (August 5, 2022): 2327–35. http://dx.doi.org/10.37275/bsm.v6i11.600.

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Introduction: Eyelid reconstruction after excision of carcinoma can be challenging due to the dynamic movement and anatomy of the eyelid. Flap and graft are choices of techniques to fill and repair broad eyelid defects. Significant lower eyelid defects can typically be closed using skin flaps and grafts to substantiate the posterior lamella. This study aims to describe three cases with lower eyelid reconstruction and evaluate the outcome of the surgery. Case presentation: There are three cases of lower eyelid reconstruction reported in this study. In cases 1 and 2, the surgical procedures need graft for posterior lamellae reconstruction. In case 3, the reconstruction process only required a rotational flap. All patients are in good aesthetic and functional outcomes. Conclusion: Combination of skin flap (transposition and rotational flap) and graft (oral mucosa and transconjunctival) and only rotational flap can achieve favorable functional and aesthetic outcomes in wide excision of carcinoma.

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32

Codner, M. A., and A. B. Weinfeld. "PR47 COMPREHENSIVE EYELID RECONSTRUCTION." ANZ Journal of Surgery 77, s1 (May 2007): A71. http://dx.doi.org/10.1111/j.1445-2197.2007.04127_45.x.

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33

Dhar, Shumon I., Robert Kopp, and Sherard A. Tatum. "Advances in eyelid reconstruction." Current Opinion in Otolaryngology & Head and Neck Surgery 24, no. 4 (August 2016): 352–58. http://dx.doi.org/10.1097/moo.0000000000000278.

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34

Ohtsuka, Morimasa, and Susumu Takayanagi. "Eyelid Reconstruction in Pachydermoperiostosis." Plastic and Reconstructive Surgery 81, no. 1 (January 1988): 88–93. http://dx.doi.org/10.1097/00006534-198801000-00016.

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35

Suryadevara, Amar C., and Kris S. Moe. "Reconstruction of Eyelid Defects." Facial Plastic Surgery Clinics of North America 17, no. 3 (August 2009): 419–28. http://dx.doi.org/10.1016/j.fsc.2009.04.005.

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36

Jackson, I. T., M. M. K. Muquit, and B. G. Brazzo. "Total upper eyelid reconstruction." European Journal of Plastic Surgery 22, no. 4 (May 17, 1999): 186–89. http://dx.doi.org/10.1007/s002380050179.

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37

Panuganti, Achyuth, Madhu Priya Sahu, Neeraj Rao, and Manu Malhotra. "Chondrocutaneous conchal graft for optimal reconstruction of full-thickness lower eyelid defect: a reconstructive challenge." BMJ Case Reports 15, no. 5 (May 2022): e247825. http://dx.doi.org/10.1136/bcr-2021-247825.

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Non-melanoma skin cancers of the head and neck region require optimal management encompassing oncological safety, minimal functional and cosmetic morbidity. The eyelid reconstruction poses a reconstructive challenge as it should include both anatomical and functional integrity. Full-thickness eyelid defects post resection can be managed with chondrocutaneous grafts. We present to you a case of a man in his 70s, who presented with left lower eyelid squamous cell carcinoma, who had a full-thickness eyelid defect, post ablative resection. Composite chondrocutaneous conchal graft with forehead flap was used to provide adequate functional and cosmetic outcomes. The patient has normal vision, with no exposure keratitis and complications.

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38

Bababeygy, Simon R., Anne R. Kao, Niels C. Kokot, and Eli L. Chang. "Reconstruction of Total Lower Eyelid Defects with the Temporoparietal Fascial Flap." Case Reports in Ophthalmological Medicine 2012 (2012): 1–4. http://dx.doi.org/10.1155/2012/927260.

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Purpose.To describe the use of the temporoparietal fascial flap (TPF) in the reconstruction of extensive lower eyelid defects in a functioning eye.Methods.We present a surgical case report of a 73-year-old female with melanoma of the left lower eyelid. The lower eyelid was resected, and a composite nasal cartilage-mucosa graft, a skin graft, and a TPF were used to reconstruct the lower eyelid.Results.This achieved reconstruction of the lower eyelid with the protection of the eye and preservation of the visual system function.Conclusion.The TPF serves as a good option for reconstruction of the lower eyelid in a viable functioning globe.

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Rao Venkata Mahipathy, Surya Rao, Senthil Kumar Azhisoor Chandrasekhar, Alagar Raja Durairaj, Vimal Chander Rajamanohar, Narayanamurthy Sundaramurthy, and Manimaran Ramachandran. "Kissing sebaceous carcinoma of the eyelids: a rare case report." International Surgery Journal 5, no. 7 (June 25, 2018): 2664. http://dx.doi.org/10.18203/2349-2902.isj20182794.

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Sebaceous gland carcinomas are tumours of the skin adnexa which occur around the periocular region of elderly females. It is a rare malignancy usually involving the upper eyelid and has an indolent course. Treatment is surgical excision of the lesion with lid reconstruction. Here authors discuss a case of swellings involving both the eyelids of an elderly female diagnosed as sebaceous gland carcinoma on biopsy for which wide local excision and primary eyelid repair was done. This case has been presented as the lesion masquerades as a benign one but is malignant with multifocal spread.

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40

Yunoki, Tatsuya, Yasuhisa Nakamura, Chiharu Fuchizawa, and Atsushi Hayashi. "Reconstructive Surgery of the Upper Eyelid Using the Residual Tarsus after Excision of Sebaceous Gland Carcinoma." Case Reports in Ophthalmology 7, no. 3 (December 28, 2016): 586–92. http://dx.doi.org/10.1159/000452858.

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Purpose: To report a successful eyelid reconstruction performed using the residual tarsus after excision of a sebaceous gland carcinoma. Case Report: An 86-year-old woman presented with a sebaceous gland carcinoma of the upper eyelid margin. After excision of the tumor, she underwent reconstructive surgery of the superior eyelid performed using the residual tarsus. Because the tumor was localized on the upper lid margin, a tarsus of about 4–5 mm in height remained after the excision; we therefore used the residual tarsus to reconstruct the upper eyelid. No functional or cosmetic problems arose as a result of this method. Conclusions: Reconstructive surgery of the upper eyelid using the residual tarsus may be a viable option provided that surgeons can ensure a sufficient safety margin, and that more than 4 mm of the tarsus remains.

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41

Driscoll, Daniel N., and Robert J. Dabek. "599 Eyelash Reconstruction Utilizing a Strip Graft for Burn-related Madarosis: A Case Report and Operative Technique." Journal of Burn Care & Research 43, Supplement_1 (March 23, 2022): S138—S139. http://dx.doi.org/10.1093/jbcr/irac012.227.

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Abstract Introduction Facial burns are a common occurrence with a small percentage causing injury to the periocular region. Although the eye itself is often spared, madarosis may occur from deep burn injury to the eyelid. Reconstruction of the eyelid margin is technically difficult due to the challenging aesthetic region, as well as specific characteristics of eyelashes. Although there are several options for eyelash grafting there is no established gold standard, and there is little to no-literature related to procedures involving burn madarosis. Methods Here we describe a case of unilateral eyelash grafting utilizing a composite strip graft in a 20-year-old female who sustained a 70% flame injury at the age of two. Results The presented results show the efficacy of this technique at restoring function and providing a good aesthetic result which is maintained at 1 year follow up. Conclusions Utilization of a composite strip graft to recreate the eyelid margin is a viable choice for reconstruction of burned upper eyelids in the appropriate patient. Further exploration regarding procedure timing and choice of donor site are warranted.

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Mohapatra, Devi Prasad, Friji Meethale Thiruvoth, Ravi Kumar Chittoria, S. Dinesh Kumar, Sudhanva Hemant Kumar, Senthil Kumar, Preethitha Babu, and Elan Kumar. "Proposal of a new classification scheme for periocular injuries." Indian Journal of Plastic Surgery 50, no. 01 (January 2017): 021–28. http://dx.doi.org/10.4103/ijps.ijps_207_16.

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ABSTRACT Background: Eyelids are important structures and play a role in protecting the globe from trauma, brightness, in maintaining the integrity of tear films and moving the tears towards the lacrimal drainage system and contribute to aesthetic appearance of the face. Ophthalmic trauma is an important cause of morbidity among individuals and has also been responsible for additional cost of healthcare. Periocular trauma involving eyelids and adjacent structures has been found to have increased recently probably due to increased pace of life and increased dependence on machinery. A comprehensive classification of periocular trauma would help in stratifying these injuries as well as study outcomes. Material and Methods: This study was carried out at our institute from June 2015 to Dec 2015. We searched multiple English language databases for existing classification systems for periocular trauma. We designed a system of classification of periocular soft tissue injuries based on clinico-anatomical presentations. This classification was applied prospectively to patients presenting with periocular soft tissue injuries to our department. Results: A comprehensive classification scheme was designed consisting of five types of periocular injuries. A total of 38 eyelid injuries in 34 patients were evaluated in this study. According to the System for Peri-Ocular Trauma (SPOT) classification, Type V injuries were most common. SPOT Type II injuries were more common isolated injuries among all zones. Discussion: Classification systems are necessary in order to provide a framework in which to scientifically study the etiology, pathogenesis, and treatment of diseases in an orderly fashion. The SPOT classification has taken into account the periocular soft tissue injuries i.e., upper eyelid, lower eyelid, medial and lateral canthus injuries., based on observed clinico-anatomical patterns of eyelid injuries. Conclusion: The SPOT classification seems to be a reliable system to address eyelid injuries. This classification scheme would guide the ophthalmic and facial reconstructive surgeons to provide optimal outcomes in eyelid injuries. Based on the classification scheme and review of existing literature, an algorithm is presented to facilitate repair and reconstruction.

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Ahuja, Rajeev B., Pallab Chatterjee, Gaurav K. Gupta, and Prabhat Shrivastava. "Total upper eyelid reconstruction by single staged malar-cheek flap." Indian Journal of Plastic Surgery 47, no. 01 (January 2014): 116–19. http://dx.doi.org/10.4103/0970-0358.129637.

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ABSTRACTWe report a case of total upper eyelid reconstruction by a new technique after excision of an eyelid tumour. The eyelid was reconstructed by a horizontal, laterally based flap from just under the lower eyelid combined with a chondro-mucosal graft from the nasal septum. Surgical outcome was an excellent aesthetically reconstructed eyelid, which was mobile and properly gliding on the globe to achieve complete eye closure.

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Lee, Ju Ho, Sang Seok Woo, Se Ho Shin, Hyeon Jo Kim, Jae Hyun Kim, Seong Hwan Kim, and In Suck Suh. "Upper eyelid reconstruction using a combination of a nasal septal chondromucosal graft and a Fricke flap: a case report." Archives of Craniofacial Surgery 22, no. 4 (August 20, 2021): 204–8. http://dx.doi.org/10.7181/acfs.2021.00262.

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Sebaceous carcinoma is a malignant neoplasm that usually arises in the sebaceous glands of the eyelids. Its pathogenesis is unknown; however, irradiation history, immunosuppression, and use of diuretics are known risk factors. The mainstay of treatment for sebaceous carcinoma of the eyelid is wide surgical resection with a safety margin of 5 to 6 mm, which often results in full-thickness defects. The reconstruction of a full-thickness defect of the eyelid should be approached using a three-lamella method: a mucosal component replacing the conjunctiva, a cartilage component for the tarsal plate, and a flap or skin graft for the skin of the eyelid. In this case, a fullthickness defect of the upper eyelid was reconstructed after tumor removal using a combination of a nasal septum chondromucosal composite graft and a forehead transposition flap, also known as a “Fricke flap.” The flap was designed to include a line of the eyebrow on the lower margin of the flap to replace the eyelash removed during tumor excision. The wound healed completely, without any early or late complications, and the outcome was satisfactory.

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ISHIHARA, Tsuyoshi, Shigeto MATSUSHITA, Atsushi KAGUCHI, Takahisa NAGATA, and Taiga MIYAKE. "Eyelid reconstruction after surgical excision of large eyelid neoplasms." Skin Cancer 20, no. 1 (2005): 19–22. http://dx.doi.org/10.5227/skincancer.20.19.

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Takahashi, Yasuhiro, Hidetaka Miyazaki, WengOnn Chan, and Hirohiko Kakizaki. "Lower Eyelid Reconstruction for Iatrogenic Eyelid-to-Globe Malposition." Journal of Craniofacial Surgery 26, no. 3 (May 2015): e268-e270. http://dx.doi.org/10.1097/scs.0000000000001772.

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Papp, Ch, H. Maurer, and E. Geroldinger. "Lower Eyelid Reconstruction with the Upper Eyelid Rotation Flap." Plastic and Reconstructive Surgery 86, no. 3 (September 1990): 563–65. http://dx.doi.org/10.1097/00006534-199009000-00031.

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Papp, Ch, H. Maurer, E. Geroldinger, and Francis C. Sutula. "Lower Eyelid Reconstruction with the Upper Eyelid Rotation Flap." Plastic and Reconstructive Surgery 86, no. 3 (September 1990): 566–68. http://dx.doi.org/10.1097/00006534-199009000-00032.

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Frimmel, Sonja, Christoph Kniestedt, and Karla Chaloupka. "Eyelid Reconstruction: Pediculated versus Non-Pediculated." Klinische Monatsblätter für Augenheilkunde 235, no. 04 (January 19, 2018): 398–403. http://dx.doi.org/10.1055/s-0043-122736.

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Abstract Background To compare the functional and cosmetic outcome of pediculated versus free anterior and posterior lamella reconstruction after large eyelid defects due to malignancy excision. Patients and Methods A retrospective study over 2 years with 12 patients matching the criterion of pediculated versus non-pediculated transplants out of a cohort of 124 tumor excisions. The mean age was 76 ± 8 years of the 7 male and 5 female patients. In the majority of cases, more than half of the eyelid was excised. The posterior lamella was always reconstructed with tarsal tissue, and the anterior lamella mostly with an upper eyelid skin graft. The postoperative follow-up time was between 2 months and 1 year. Results Nodular basal cell carcinoma was the prevailing histology (6 patients). The reconstruction techniques included a Hughes procedure (four patients) or a free tarsal graft with a pediculated skin flap (four patients), respectively. In the remaining four patients, a combination of pediculated/free anterior AND posterior lamellae was performed. Four patients had a one-stage and eight patients a 2nd stage procedure with a mean time until tarsoconjunctival flap reopening of 16 ± 2 days. Conclusions No difference was found in the final functional outcome in pediculted versus free grafts. The cosmetic result was better in anterior lamella reconstructions with a pediculated flap, which usually allows a one-stage procedure. The 2nd stage procedure could be performed after 2 weeks without any complications.

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Farid, A. Y., T. H. Olwan, A. M. Abd El-Mofeed, and H. A. Abou El-Fadl. "New Trends in Eyelid Reconstruction." Benha Journal of Applied Sciences 5, no. 5 (August 1, 2020): 1–10. http://dx.doi.org/10.21608/bjas.2020.136703.

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