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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Open Science Company, LLC
2012
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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. |
format | Online Article Text |
id | pubmed-3312686 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Open Science Company, LLC |
record_format | MEDLINE/PubMed |
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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