Upper eyelid defect by dog bite reconstructed by an ipsilateral advanced tarsoconjunctival flap with skin graft |
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Authors: | Sameh Saad Yasuhiro Takahashi Lucy A Goold Hirohiko Kakizaki |
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Institution: | (1) Department of Ophthalmology, Aichi Medical University, Nagakute, Aichi 480-1195, Japan;(2) South Australian Institute of Ophthalmology and Discipline of Ophthalmology and Visual Sciences, University of Adelaide, Adelaide, South Australia, Australia; |
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Abstract: | A technique for reconstruction of a traumatic upper-eyelid marginal defect utilizing a local tarsoconjunctival advancement
flap with a skin graft is presented. A 22-year-old woman was bitten by a dog, resulting in a full-thickness loss of approximately
the central half of her left upper eyelid. Debridement was performed under topical anaesthesia followed by one-stage upper
eyelid reconstruction. The residual tarsal plate was used as a tarsoconjunctival advancement flap to reconstruct the posterior
lamella of the defect. Skin from the posterior aspect of the left ear was grafted onto the reconstructed posterior lamella
with two setting tarsorrhaphy sutures. One month postoperatively, the patient had an excellent cosmetic result with appropriate
upper eyelid height and curvature, although cilia were not transplanted. The technique described offers a one-stage procedure
with a simple surgical method providing on appropriate cosmetic and functional result. |
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Keywords: | |
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