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Lower eyelid fornix deepening: A new indication for the facial artery myomucosal flap
Eye socket contracture is a well-known late complication of enucleation surgery, and the additional insult of radiotherapy at an early age causes even further fibrosis and scarring of the socket. Management of the contracted socket is challenging, and several methods have been proposed. We report a...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Plastic and Reconstructive Surgeons
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7861970/ https://www.ncbi.nlm.nih.gov/pubmed/33503749 http://dx.doi.org/10.5999/aps.2020.00206 |
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author | Saad, Arman Zaharil Mat Nordin, Nur Raihana Sulaiman, Wan Azman Wan Jamayet, Nafij Johar, Siti Fatimah Noor Mat Hussein, Adil |
author_facet | Saad, Arman Zaharil Mat Nordin, Nur Raihana Sulaiman, Wan Azman Wan Jamayet, Nafij Johar, Siti Fatimah Noor Mat Hussein, Adil |
author_sort | Saad, Arman Zaharil Mat |
collection | PubMed |
description | Eye socket contracture is a well-known late complication of enucleation surgery, and the additional insult of radiotherapy at an early age causes even further fibrosis and scarring of the socket. Management of the contracted socket is challenging, and several methods have been proposed. We report a case of eye socket contracture after enucleation and radiotherapy in which multiple reconstructive procedures failed. The recurrent contracture caused difficulty in housing and retaining the eye prosthesis. We reconstructed the lower eyelid with a facial artery myomucosal flap and nasolabial flap, and the upper eyelid with a Fricke flap following reconstruction of the orbital rims (supraorbital and infraorbital rims with a calvarial bone graft, and further augmentation of the infraorbital rim with a rib bone graft). Cosmesis post-reconstruction was acceptable and the prosthesis was retained very well. |
format | Online Article Text |
id | pubmed-7861970 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Korean Society of Plastic and Reconstructive Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-78619702021-02-10 Lower eyelid fornix deepening: A new indication for the facial artery myomucosal flap Saad, Arman Zaharil Mat Nordin, Nur Raihana Sulaiman, Wan Azman Wan Jamayet, Nafij Johar, Siti Fatimah Noor Mat Hussein, Adil Arch Plast Surg Pediatric/Craniomaxillofacial/Head & Neck Eye socket contracture is a well-known late complication of enucleation surgery, and the additional insult of radiotherapy at an early age causes even further fibrosis and scarring of the socket. Management of the contracted socket is challenging, and several methods have been proposed. We report a case of eye socket contracture after enucleation and radiotherapy in which multiple reconstructive procedures failed. The recurrent contracture caused difficulty in housing and retaining the eye prosthesis. We reconstructed the lower eyelid with a facial artery myomucosal flap and nasolabial flap, and the upper eyelid with a Fricke flap following reconstruction of the orbital rims (supraorbital and infraorbital rims with a calvarial bone graft, and further augmentation of the infraorbital rim with a rib bone graft). Cosmesis post-reconstruction was acceptable and the prosthesis was retained very well. Korean Society of Plastic and Reconstructive Surgeons 2021-01 2021-01-20 /pmc/articles/PMC7861970/ /pubmed/33503749 http://dx.doi.org/10.5999/aps.2020.00206 Text en Copyright © 2021 The Korean Society of Plastic and Reconstructive Surgeons This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Pediatric/Craniomaxillofacial/Head & Neck Saad, Arman Zaharil Mat Nordin, Nur Raihana Sulaiman, Wan Azman Wan Jamayet, Nafij Johar, Siti Fatimah Noor Mat Hussein, Adil Lower eyelid fornix deepening: A new indication for the facial artery myomucosal flap |
title | Lower eyelid fornix deepening: A new indication for the facial artery myomucosal flap |
title_full | Lower eyelid fornix deepening: A new indication for the facial artery myomucosal flap |
title_fullStr | Lower eyelid fornix deepening: A new indication for the facial artery myomucosal flap |
title_full_unstemmed | Lower eyelid fornix deepening: A new indication for the facial artery myomucosal flap |
title_short | Lower eyelid fornix deepening: A new indication for the facial artery myomucosal flap |
title_sort | lower eyelid fornix deepening: a new indication for the facial artery myomucosal flap |
topic | Pediatric/Craniomaxillofacial/Head & Neck |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7861970/ https://www.ncbi.nlm.nih.gov/pubmed/33503749 http://dx.doi.org/10.5999/aps.2020.00206 |
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