Journal article
Single-stage repair of large full thickness lower eyelid defects using free tarsoconjunctival graft and transposition flap: experience and outcomes
Orbit (Amsterdam), Vol.ahead-of-print(ahead-of-print), pp.1-6
12/10/2020
DOI: 10.1080/01676830.2020.1852579
PMID: 33969795
Abstract
Background: Lid-sharing approaches are often advocated for repair of large full thickness lower eyelid defects, however result in temporary visual obstruction and the need for a second-stage procedure. The authors describe and report outcomes using a one-stage technique utilizing a free tarsoconjunctival graft (TCG) and musculocutaneous transposition flap (MCT) to repair defects up to 90% of the lower eyelid.
Methods: A retrospective chart review on patients that had undergone full thickness lower eyelid reconstruction using a TCG and MCT between the dates of 1/1/2015 to 3/1/2020 was performed. Demographic and clinical information including indication for repair, size of defect, post-operative complications, and outcomes were recorded and analyzed.
Results: Six cases of lower eyelid reconstruction using this technique were identified. Fifty percent were male, average age was 61.3 years (range 36-91, SD = 18.9), and follow up was 36.7 weeks (range 3-129, SD = 48.1). All defects were due to malignancy (4/6 for basal cell carcinoma, 1/6 each for sebaceous cell carcinoma and merkel cell carcinoma). Average horizontal defect size was 80% of lower eyelid width (range 57%-90%, SD = 12.3), while average vertical defect size was 8 mm (range 5-10 mm, SD = 1.7). There were no instances of post-operative infection, lid malposition, or dehiscence. A pyogenic granuloma was noted in one case and was managed with excision.
Conclusion: A single-stage procedure using a TCG and MCT can be used to repair laterally based full-thickness lower eyelid defects up to 90% with satisfactory outcomes and few complications.
Details
- Title: Subtitle
- Single-stage repair of large full thickness lower eyelid defects using free tarsoconjunctival graft and transposition flap: experience and outcomes
- Creators
- Chau M Pham - University of IowaKevin D Heinze - University of Illinois at ChicagoMariah Mendes-Rufino-Uehara - Federal University of São Paulo-UNIFESPPete Setabutr - University of Illinois at Chicago
- Resource Type
- Journal article
- Publication Details
- Orbit (Amsterdam), Vol.ahead-of-print(ahead-of-print), pp.1-6
- Publisher
- Taylor & Francis
- DOI
- 10.1080/01676830.2020.1852579
- PMID
- 33969795
- ISSN
- 0167-6830
- eISSN
- 1744-5108
- Language
- English
- Electronic publication date
- 12/10/2020
- Academic Unit
- Ophthalmology and Visual Sciences
- Record Identifier
- 9984111206202771
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