Simultaneous Upper and Lower Eyelid Reconstruction for Eyelid Defects Following a Dog Bite
Journal of the Korean Ophthalmological Society
;
: 582-587, 2012.
Artículo
en Coreano
| WPRIM
| ID: wpr-16667
ABSTRACT
PURPOSE:
While the principles of eyelid reconstruction are well established, the rapid choice of a method of upper and lower eyelid defect reconstruction is difficult. The authors present a successful case of simultaneous reconstruction of upper and lower eyelid defects with a modified paramedian forehead flap resulting from a dog bite. CASESUMMARY:
The authors report a case of a 77-year-old woman with total hyphema and extensive skin defects involving the forehead, cheek, and upper and lower eyelid resulting from a dog bite. The wound on the left periorbital area was treated with microimplantation and skin grafts from the left thigh and groin. In the weeks following, sequential failure of the flap and skin graft was observed, and exposed keratitis worsened, resulting in corneal perforation. Evisceration with hydroxyapatite implantation and paramedian forehead flap was performed. After 3 weeks, division of the pedicle, transverse division of the flap, and socket reconstruction were performed.CONCLUSIONS:
Reconstruction of large, full thickness defects of both upper and lower eyelids with a paramedian forehead flap is associated with a good cosmetic outcome. Paramedian forehead flap should be considered as an effective choice for simultaneous upper and lower eyelid reconstruction.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Piel
/
Muslo
/
Mordeduras y Picaduras
/
Hipema
/
Mejilla
/
Durapatita
/
Trasplantes
/
Cosméticos
/
Párpados
/
Perforación Corneal
Límite:
Animales
/
Femenino
/
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Ophthalmological Society
Año:
2012
Tipo del documento:
Artículo
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