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CC BY-NC-ND 4.0 · Arch Plast Surg 2022; 49(03): 319-323
DOI: 10.1055/s-0042-1748639
Cosmetic
Idea and Innovation

Dynamic Upper Eyelid Reconstruction for Total Periorbital Soft Tissue Loss

Madhubari Vathulya 
1   Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
,
Nishank Manohar 
1   Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
,
Manish Pradip Jagtap 
1   Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
,
Vishal Mago 
1   Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
,
Praveen A. Jayaprakash 
1   Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
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Abstract

Total eyelid defect comprises full-thickness loss of both upper and lower eyelids in a patient. It is a rare and devastating condition with serious implications related to vision, which mandates early and functional reconstruction when associated with intact globe. The primary goal is to give a stable coverage for orbital protection but at the same time provide a functional reconstruction of the defect, to allow for adequate mobility of the eyelids so that the patient's vision is restored to normal with minimal disability. When the defect is massive, and in the absence of loco-regional flaps, microvascular tissue transfer is needed. In this report we describe a radial-artery-based microvascular tissue transfer with a unique innovation utilizing the contralateral frontalis muscle to reconstruct a case of unilateral total upper and lower eyelid loss.

Keywords

reconstructive - eyelids - tendon - degloving injury - free tissue

Author Contributions

Conceptualization, data curation, formal analysis, visualization: M.V. Methodology: All authors. Project administration: M.V., N.M., and V.M. Writing-original draft: N.M. Writing-review and editing: N.M., M.J., and P.A.J.


Patient Consent

Informed written consent has been taken from the patients on whom surgeries were performed as per the hospital protocol.




Publication History

Article published online:
27 May 2022

© 2022. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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Comment to this article:

Commentary: Dynamic Upper Eyelid Reconstruction for Total Periorbital Soft Tissue LossArch Plast Surg 2022; 49(03): V2-V2
DOI: 10.1055/s-0043-1777240

 

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