Surgical Management of Large Periorbital Cutaneous Defects: Aesthetic Considerations and Technique Refinements

Annals of Plastic Surgery
Yun ZouXiaoxi Lin

Abstract

The aim of this study was to repair large periorbital cutaneous defects by an innovative technique called PEPSI (periorbital elevation and positioning with secret incisions) technique with functional and aesthetic outcomes. In this retrospective study, unilateral periorbital cutaneous defects in 15 patients were repaired by the PEPSI technique. The ages of patients ranged from 3 to 46 years (average, 19 years). The outcome evaluations included scars (Vancouver Scar Scale and visual analog scale score), function and aesthetic appearance of eyelids, and patient satisfaction. The repair size was measured by the maximum advancement distance of skin flap during operation. All patients achieved an effective repair with a mean follow-up of 18.3 months. Except one with a small (approximately 0.3 cm) necrosis, all patients healed with no complication. The mean Vancouver Scar Scale and visual analog scale scores were 2.1 ± 1.7 and 8.5 ± 1.2, respectively. Ideal cosmetic and functional outcomes were achieved in 14 patients (93.3%). All patients achieved complete satisfaction except 1 patient with partial satisfaction. The mean maximum advancement distance of skin flap was 20.2 mm (range, 8-50 mm). This study demonstrated that the PEPSI te...Continue Reading

References

Nov 1, 1978·Ophthalmology·R R Tenzel, W B Stewart
Nov 1, 1988·Psychological Medicine·H M McCormackS Sheather
Mar 1, 1982·Archives of Otolaryngology·K W Cox, W Larrabee
Dec 1, 1981·Archives of Otolaryngology·W F LarrabeeK Cox
May 1, 1993·Plastic and Reconstructive Surgery·H M Spinelli, G W Jelks
Sep 1, 1995·The Journal of Burn Care & Rehabilitation·M J Baryza, G A Baryza
Jun 30, 2009·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Irene M J Mathijssen, Jacques C van der Meulen
Nov 26, 2009·Ophthalmic Plastic and Reconstructive Surgery·Lin ZhuXiaojun Wang
Nov 26, 2009·Plastic and Reconstructive Surgery·Daniel MarchacHasnaa Bine-bine
Jan 20, 2010·Survey of Ophthalmology·Ana M S MorleyRaman Malhotra
May 5, 2010·Plastic and Reconstructive Surgery·Morris Ritz, Brigid Corrigan
May 25, 2012·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Gang MaHui Chen
Sep 6, 2012·The Journal of Craniofacial Surgery·Mehmet BayramiçliHakan Sirinoğlu
Jul 31, 2013·Plastic and Reconstructive Surgery·Mohammed AlghoulMark A Codner
Aug 2, 2013·Annals of Plastic Surgery·Alexander MargulisNeta Adler
Jul 6, 2014·Annals of Maxillofacial Surgery·Serdar YüceSelim Celebioğlu
Aug 28, 2014·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Wendy W LeeAnn Neff
Feb 13, 2015·International Ophthalmology·Neelam PushkerSupriyo Ghose
Sep 24, 2016·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Li HuXiaoxi Lin

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