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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...

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Autores principales: Saad, Arman Zaharil Mat, Nordin, Nur Raihana, Sulaiman, Wan Azman Wan, Jamayet, Nafij, Johar, Siti Fatimah Noor Mat, Hussein, Adil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Plastic and Reconstructive Surgeons 2021
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.
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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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