PURPOSE: The repair of full-thickness defects of the eyelids poses a challenge, because the reconstruction of the tarsus-conjunctival layer often results in aesthetically and functionally unsatisfactory outcomes. The authors' aim was to create a new method to repair large tarsus-conjunctival losses and to examine the outcomes of its use. METHODS: Seven patients with invasive carcinoma of the eyelids underwent a venous wall graft. RESULTS: All patients had good to outstanding results and no complications. CONCLUSION: This new reconstruction of the deeper layer of the eyelid provides a useful alternative to traditional methods (composite grafts and full-thickness flaps). Our new surgical technique is easy to execute and has good functional and aesthetic results.
PURPOSE: The repair of full-thickness defects of the eyelids poses a challenge, because the reconstruction of the tarsus-conjunctival layer often results in aesthetically and functionally unsatisfactory outcomes. The authors' aim was to create a new method to repair large tarsus-conjunctival losses and to examine the outcomes of its use. METHODS: Seven patients with invasive carcinoma of the eyelids underwent a venous wall graft. RESULTS: All patients had good to outstanding results and no complications. CONCLUSION: This new reconstruction of the deeper layer of the eyelid provides a useful alternative to traditional methods (composite grafts and full-thickness flaps). Our new surgical technique is easy to execute and has good functional and aesthetic results.
Authors: Anna Scevola; Marco Pietro Giuseppe Sanna; Sara Maxia; Salvatore Esposito; Stefano Di Giulio; Leonardo Sartore Journal: Plast Reconstr Surg Glob Open Date: 2015-04-07