The Köllner Tarsoconjunctival Flap for Lower Eyelid Reconstruction: Historical Perspective and Surgical Outcomes of 140 Cases
| Autor: | Robi N. Maamari, Philip L. Custer |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Eyelid Skin
medicine.medical_specialty Erythema medicine.medical_treatment Cryotherapy Tarsoconjunctival flap Eyelid Neoplasms Asymptomatic Surgical Flaps medicine Humans Canthus Retrospective Studies business.industry Eyelids General Medicine Plastic Surgery Procedures eye diseases Surgery Ophthalmology Treatment Outcome medicine.anatomical_structure Eyelid medicine.symptom business Cohort study |
| Zdroj: | Ophthalmic Plastic & Reconstructive Surgery. 38:294-299 |
| ISSN: | 0740-9303 |
| Popis: | PURPOSE While Wendell Hughes popularized the tarsoconjunctival flap for lower eyelid reconstruction, most modern procedures are derived from the technique described by Kollner in 1911. This study reviews the history, techniques, and outcomes of a large series of patients treated with a modified Kollner flap. METHODS In this observational cohort study, medical records and photographs were reviewed in patients undergoing surgery between 2005 and 2020. Patient demographics, complications, secondary interventions, and outcomes were evaluated. RESULTS Marginal defect size ranged from 12 to 41 mm among the 140 study patients. Ancillary procedures included lower eyelid conjunctival flaps (n = 64) and septal orbicularis flaps (n = 68). The anterior lamella was reconstructed with skin grafts (n = 86), flaps (n = 10), or combined flaps/grafts (n = 44). Pedicle division was performed 23 to 84 days after primary repair. Subsequent interventions included steroid injection (n = 10), cryotherapy (n = 10), marginal erythema treatment (n = 9), and upper eyelid retraction repair (n = 6). Tearing (6.5%) and dryness (10%) were the most common postoperative symptoms, with most patients (78.6%) being asymptomatic. A good-excellent functional outcome was achieved in 94.3% and cosmetic outcome in 85.0% of cases. Defects |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|