Medial Canthal Reconstruction of Skin Defects With Full-Thickness Skin Grafts

Jongh, Frank W. de; Pouwels, Sjaak; Weenen, C.; Bosch, W A van den; Paridaens, Dion

doi:10.1097/dss.0000000000002973

Cited by 6 publications

(7 citation statements)

References 4 publications

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“…If a flap technique is used for medial canthus repair, it is recommended that it comes from an area of skin that matches in terms of texture, thickness, and color. Skin from the eyelids is often an excellent match for use in revision; however, this may confer the risk of contracture or subsequent limitations in mobility for the patient 13 . Median forehead flaps confer the risk of changing the medial brow position 13 .…”

Section: Discussionmentioning

confidence: 99%

Medial Canthal Reconstruction - Scar Restricting Vision in Only Seeing Eye of a 75-year-old Female

Sharma

Georgolios

2023

WJPS

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Scarring is a common post-injury outcome that can precipitate functional impairment. We present the case of a 75-year-old female who presented with diminished upper eyelid excursion in her right (only seeing) eye due to scarring associated with a facial laceration. She had a history of right eye corneal transplantation and necessitated urgent excision of the scar to release upper eyelid motion. The scar was excised, and a full-thickness skin graft (FTSG) was used, harvested from the skin of the right supraclavicular neck. Post-operative recovery was excellent, and the patient was relieved of restriction of her right upper eyelid opening.

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Section: Discussionmentioning

confidence: 99%

Medial Canthal Reconstruction - Scar Restricting Vision in Only Seeing Eye of a 75-year-old Female

Sharma

Georgolios

2023

WJPS

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“…Preauricular or postauricular areas, the supraclavicular area, and the inner upper arm could be other donor options. 94 The grafts should always be free of any subcutaneous fat before being implanted. The grafts should be sized 10% and 30% larger to prevent contracture when the medial canthal location or preseptal location needs repair, respectively, and the rest of the periocular area is designed to be appropriately sized rather than oversized.…”

Section: V-y Advancement Flapmentioning

confidence: 99%

“…From an aesthetic standpoint, skin tissue from the ipsilateral or contralateral eyelid provides the best match. Preauricular or postauricular areas, the supraclavicular area, and the inner upper arm could be other donor options 94 …”

Section: Eyelid Reconstructionmentioning

confidence: 99%

Periocular Malignancies and Postoperative Eyelid Reconstruction

Hou

Rokohl

Fan

et al. 2023

International Ophthalmology Clinics

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“…FTSG is suitable for simple anterior lamellar defects with a healthy orbicularis base [ 7 , 8 ] or for use in combination with vascularized posterior lamellar replacements for bilamellar defects [ 9 , 10 ]. Aesthetically, skin tissues from the ipsilateral or contralateral eyelid, retroauricular, inner brachial, and supraclavicular areas that provide similar color, thickness, and texture are considered ideal donor sites for the periocular region [ 11 ]. Hypertrophic scarring is the most common complication and can be reversed by massage, steroid ointment, and silicone gel application [ 12 ].…”

Section: Anterior Lamellar Defectsmentioning

confidence: 99%

Surgical Strategies for Eyelid Defect Reconstruction: A Review on Principles and Techniques

Yan

et al. 2022

Ophthalmol Ther

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Reconstruction of eyelid defects, especially the posterior lamella, remains challenging because of its anatomical complexity, functional considerations, and aesthetic concerns. The goals of eyelid reconstruction include restoring eyelid structure and function and achieving an aesthetically acceptable appearance. An in-depth understanding of the complex eyelid anatomy and several reconstructive principles are mandatory to achieve these goals. Currently, there are multiple surgical treatment options for eyelid reconstruction, including different flaps, grafts, and combinations of them. This comprehensive review outlines the principles of reconstruction and discusses the indications, advantages, and disadvantages of currently available surgical techniques. We also propose our clinical thinking for solving specific clinical questions in eyelid reconstruction and offer perspectives on new potential methodologies in the future.

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Medial Canthal Reconstruction of Skin Defects With Full-Thickness Skin Grafts

Cited by 6 publications

References 4 publications

Medial Canthal Reconstruction - Scar Restricting Vision in Only Seeing Eye of a 75-year-old Female

Medial Canthal Reconstruction - Scar Restricting Vision in Only Seeing Eye of a 75-year-old Female

Periocular Malignancies and Postoperative Eyelid Reconstruction

Surgical Strategies for Eyelid Defect Reconstruction: A Review on Principles and Techniques

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