Upper Eyelid Reconstruction Using the Medpor(R) Sheet and Median Forehead Flap
Journal of the Korean Ophthalmological Society
;
: 1105-1110, 2009.
Article
in Korean
| WPRIM
| ID: wpr-94253
ABSTRACT
PURPOSE:
To report the upper eyelid reconstruction with median forehead flap and Medpor(R) sheet implant following full-thickness eyelid defect resulting from tumor resection. CASESUMMARY:
A 65-year-old woman was examined at our hospital for a recurrent mass on the right upper eyelid. A wide tumor excision with a 3 mm margin and an eyelid reconstruction procedure were performed after a frozen section biopsy revealed a malignancy. The full-thickness eyelid defect was reconstructed with a median forehead flap as a substitute for skin and muscle and a Medpor(R) sheet substituted for tarsal plate was sutured with a lower conjunctiva flap for posterior lamella. The histopathology diagnosis of the lesion showed a well-differentiated squamous cell carcinoma. The lower conjunctiva was separated at 2 weeks after surgery, and then the median forehead flap detached from the upper eyelid skin at 8 weeks after surgery. One year postoperatively, there was no evidence of a wound infection and an exposure of the Medpor(R) sheet. The eyelid had a good cosmetic contour and the movement of the eyelid during blinking was natural.CONCLUSIONS:
The use of a Medpor(R) sheet as a substitute for a tarsal plate in reconstructive procedures of the upper eyelid defect shows cosmetic and functional success.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Skin
/
Wound Infection
/
Biopsy
/
Blinking
/
Carcinoma, Squamous Cell
/
Conjunctiva
/
Cosmetics
/
Eyelids
/
Forehead
/
Frozen Sections
Limits:
Aged
/
Female
/
Humans
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2009
Type:
Article
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