Full-thickness lower eyelid reconstruction with a conchal chondro-perichondral graft and local coverage with Mio-cutaneous flaps--our divisional experience

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Pier Camillo ParodiFlavia Miani

Abstract

Eyelid reconstruction represents a challenge because of the complexity of this structure. Full-thickness eyelid defects demand the reconstruction of 2 fundamental elements: anterior and posterior lamellae. The available reconstructive techniques are all associated with the attention to restore the support and responsibility of eyelid stability, represented physiologically by the tarsus. In 1987, Matsuo proposed a reconstructive technique that involved the use of a chondro-perichondral graft harvested from the auricular concha to reconstruct the posterior lamella, and an adjacent skin flap to restore the anterior lamella. We report our divisional experience of a series of 28 patients operated on from 2000 to 2004, whose eyelid restoration was achieved with the use of Matsuo's technique modified with the purpose to avoid complications such as ectropion or lagophtalmus. All the grafts survived, and no major complication such as ectropion or lagophthalmos has been detected. Our specialistic judgment has ranged from good to excellent regarding symmetry, eyelid closure, and donor site morbidity. Patients were entirely satisfied with the functional result obtained, and generally with the esthetic outcome also, judged as ranging from g...Continue Reading

References

Oct 1, 1987·Plastic and Reconstructive Surgery·K MatsuoR Satoh
Jul 1, 1997·Plastic and Reconstructive Surgery·E PorfirisN Sgouras
Jan 7, 2000·British Journal of Plastic Surgery·I KoshimaT Moriguchi
Apr 6, 2005·Plastic and Reconstructive Surgery·Nicolò ScuderiStefano Chiummariello

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Citations

Jul 23, 1998·Auris, Nasus, Larynx·S BacciuC Zini
Mar 11, 2010·The Journal of Craniofacial Surgery·Piotr Wójcicki, Mateusz Zachara
May 30, 2013·The Journal of Craniofacial Surgery·Yunpeng GuJiaqi Wang
Jul 19, 2013·BioMed Research International·Pier Camillo ParodiMarco Zeppieri
Mar 26, 2014·Actas dermo-sifiliográficas·M M Otero RivasM Á Rodríguez Prieto
Sep 3, 2013·Annales de chirurgie plastique et esthétique·M RobertV Darsonval
Nov 21, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Alexis B OlssonSanjay P Reddi
May 22, 2018·Orbit·Alessandra FinPier Camillo Parodi
Aug 2, 2013·Annals of Plastic Surgery·Alexander MargulisNeta Adler

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