Reconstruction of Lagophthalmos of Upper Eyelid With a Subcutaneous Pedicled Propeller Flap.

Autor: Ding JP; Department of Plastic Surgery, Beijing Hospital, National Center of Gerontology, Institute of geriatric medicine, Chinese academy of medical sciences., Chen B; Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing., Yao JM; Department of Hand Surgery, Hangzhou Plastic Surgery Hospital, No. 168 Shang-Tang Road, Hangzhou, China.
Jazyk: angličtina
Zdroj: The Journal of craniofacial surgery [J Craniofac Surg] 2021 May 01; Vol. 32 (3), pp. e243-e244.
DOI: 10.1097/SCS.0000000000006966
Abstrakt: Abstract: An 11-year-old boy presented with lagophthalmos of the left upper eyelid after traumatic scar contracture. Chronic eyelid hypophasis could produce dryness, foreign body sensation, cornea exposure. To reconstruct the upper eyelid defects after scar release represented a significant challenge in terms of recreating functional eyelids. The authors applied the orbital subcutaneous pedicled propeller flap for one-stage reconstruction of the lagophthalmos. Four weeks after surgery, the patient had functional eyelid with no ectropion, cornea exposure or conjunctivitis and the appearance of eyelid was improved. And the final result was found to be acceptable at 6 months follow-up. The authors consider that to repair the lagophthalmos of upper eyelid, the use of orbital subcutaneous propeller flap can achieve both functional and appearance improvement, it is an effective method with flexibility and personalization.
Competing Interests: The authors have no conflicts of interest to disclose.
(Copyright © 2020 by Mutaz B. Habal, MD.)
Databáze: MEDLINE