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A Split Forehead Flap for the Treatment of Resistant Bilateral Upper and Lower Eyelid Ectropion Postburn Injury

Objective: The aim of this surgical procedure was to definitively correct severe recurrent upper and lower bilateral eyelid ectropion after 2 attempts with full-thickness skin grafts. It was necessary to repair all 4 eyelids with forehead skin. Middle lamella support was required. Methods: Bilateral...

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Autores principales: Wetton, Lara, Wijewardena, Aruna, Miroshnik, Michael, Vandervord, John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Open Science Company, LLC 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3312686/
https://www.ncbi.nlm.nih.gov/pubmed/22461952
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author Wetton, Lara
Wijewardena, Aruna
Miroshnik, Michael
Vandervord, John
author_facet Wetton, Lara
Wijewardena, Aruna
Miroshnik, Michael
Vandervord, John
author_sort Wetton, Lara
collection PubMed
description Objective: The aim of this surgical procedure was to definitively correct severe recurrent upper and lower bilateral eyelid ectropion after 2 attempts with full-thickness skin grafts. It was necessary to repair all 4 eyelids with forehead skin. Middle lamella support was required. Methods: Bilateral median forehead flaps, which were well vascularized by the supratrochlear vessels, were chosen for this procedure to utilize the readily available forehead tissue. The median forehead flap can be easily positioned to cover the entire eyelid. Furthermore, the flap could be split in half, without the risk of vascular compromise. Middle lamella support was provided with a cartilage graft from the nasal septum. Results: At 4 months, the patient no longer suffered from exposure keratopathy and both forehead flaps had healed well. At 12 months, the functional and cosmetic outcomes of this procedure were acceptable. Conclusions: This method of surgery can be effective in the young, in whom the Mustarde cheek advancement fails, or when there is little available unburnt tissue. It can be used as an alternative to a forehead flap when both upper and lower eyelids are damaged bilaterally. The split forehead flap definitively corrected the ectropion in this case.
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spelling pubmed-33126862012-03-29 A Split Forehead Flap for the Treatment of Resistant Bilateral Upper and Lower Eyelid Ectropion Postburn Injury Wetton, Lara Wijewardena, Aruna Miroshnik, Michael Vandervord, John Eplasty Journal Article Objective: The aim of this surgical procedure was to definitively correct severe recurrent upper and lower bilateral eyelid ectropion after 2 attempts with full-thickness skin grafts. It was necessary to repair all 4 eyelids with forehead skin. Middle lamella support was required. Methods: Bilateral median forehead flaps, which were well vascularized by the supratrochlear vessels, were chosen for this procedure to utilize the readily available forehead tissue. The median forehead flap can be easily positioned to cover the entire eyelid. Furthermore, the flap could be split in half, without the risk of vascular compromise. Middle lamella support was provided with a cartilage graft from the nasal septum. Results: At 4 months, the patient no longer suffered from exposure keratopathy and both forehead flaps had healed well. At 12 months, the functional and cosmetic outcomes of this procedure were acceptable. Conclusions: This method of surgery can be effective in the young, in whom the Mustarde cheek advancement fails, or when there is little available unburnt tissue. It can be used as an alternative to a forehead flap when both upper and lower eyelids are damaged bilaterally. The split forehead flap definitively corrected the ectropion in this case. Open Science Company, LLC 2012-03-23 /pmc/articles/PMC3312686/ /pubmed/22461952 Text en Copyright © 2012 The Author(s) http://creativecommons.org/licenses/by/2.0/ This is an open-access article whereby the authors retain copyright of the work. The article is distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Journal Article
Wetton, Lara
Wijewardena, Aruna
Miroshnik, Michael
Vandervord, John
A Split Forehead Flap for the Treatment of Resistant Bilateral Upper and Lower Eyelid Ectropion Postburn Injury
title A Split Forehead Flap for the Treatment of Resistant Bilateral Upper and Lower Eyelid Ectropion Postburn Injury
title_full A Split Forehead Flap for the Treatment of Resistant Bilateral Upper and Lower Eyelid Ectropion Postburn Injury
title_fullStr A Split Forehead Flap for the Treatment of Resistant Bilateral Upper and Lower Eyelid Ectropion Postburn Injury
title_full_unstemmed A Split Forehead Flap for the Treatment of Resistant Bilateral Upper and Lower Eyelid Ectropion Postburn Injury
title_short A Split Forehead Flap for the Treatment of Resistant Bilateral Upper and Lower Eyelid Ectropion Postburn Injury
title_sort split forehead flap for the treatment of resistant bilateral upper and lower eyelid ectropion postburn injury
topic Journal Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3312686/
https://www.ncbi.nlm.nih.gov/pubmed/22461952
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