Prevention of Ectropion in Reconstruction of Facial Defects

Jelks, Glenn W.; Jelks, Elizabeth B.

doi:10.1016/s0094-1298(20)32365-8

Cited by 28 publications

(20 citation statements)

References 13 publications

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“…Various techniques were used to reconstruct the postresective tissue deficits in the periocular area. 4,5,7 Figure 1 presents the methods of reconstruction of the tissue deficits following resection of the primary tumors.…”

Section: Resultsmentioning

confidence: 99%

“…Reconstructive procedures should provide good protection and covering for the eye, prevent drying and meet the esthetic criteria. [3][4][5] Numerous methods for the reconstruction of tissue deficits following the removal of eyelid or periorbital malignancies are available in the specialist literature. 2,4,6 According to most authors, single-stage techniques are preferable, as they provide better functional and esthetic outcomes and are less burdensome for the patient.…”

Section: Discussionmentioning

confidence: 99%

“…1,2,6 In the literature, many authors emphasize the classification of the tissue deficits into partial eyelid thickness deficits, which cover the skin and orbicularis oculi muscle without any damage to the tarsus, and full-thickness eyelid defects, which require the reconstruction of all the lost eyelid layers. 3,8 The tissue loss percentage is sometimes also determined. Therefore, the reconstruction plan should consider the reconstruction of all layers of the eyelid, i.e., the anterior lamella, including the skin and muscle, and the posterior lamella, including the mucosal membrane and tarsus.…”

Section: Discussionmentioning

confidence: 99%

“…The esthetic effect is equally important as it has a significant impact on the patient's quality of life. [4][5][6]…”

mentioning

confidence: 99%

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Observations on surgical reconstructive management following the excision of malignant neoplasms of the eyelid and periocular area

Brodowski¹,

Pakla²,

Dymek³

et al. 2019

Adv Clin Exp Med

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Background. The surgical treatment of malignant neoplasms of the eyelid and the periocular area, due to the complex structure of the eye protective apparatus, remains a difficult surgical problem. The aim is to reconstruct the missing tissue as precisely as possible, both from a functional and esthetic point of view. Postoperative disorders of eyelid function may considerably disturb both the functioning and the quality of life of the patients. Objectives. The aim of the study was to evaluate 262 patients who had underwent operations related to malignant neoplasms of the eyelid and the periocular area, and to demonstrate which reconstruction methods for post-resection defects were the most advantageous in terms of functions and esthetics. Material and methods. The study was based on an analysis of the medical records of 262 patients. The analysis included the reconstruction techniques used, the patient's age, the sizes and locations of the primary skin cancer, any healing complications, and the distant esthetic and functional outcomes. Results. Various types of flap procedures were the most frequently used techniques in the studied group of patients (66.8%). Single flaps were used in 83 patients, multiple flaps in 89 patients and complex flaps with a cartilage graft in 3 patients. Free skin grafts were used in 52 patients and were associated with complications in the form of partial necrosis. Complications during postoperative wound healing were observed in 18.3% of the patients. In 12 patients, the complications were associated with a local infection, in 15 patients with partial, marginal necrosis and in 8 patients partial wound breakdown after the transfer of the flap occurred. Conclusions. The most frequently used mechanisms for correction and reconstruction of the deficits following the excision of the eyelid skin and periorbital malignancies included various flaps used in a total of 175 patients (66.8%).

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…The esthetic effect is equally important as it has a significant impact on the patient's quality of life. [4][5][6]…”

mentioning

confidence: 99%

See 2 more Smart Citations

Observations on surgical reconstructive management following the excision of malignant neoplasms of the eyelid and periocular area

Brodowski¹,

Pakla²,

Dymek³

et al. 2019

Adv Clin Exp Med

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show abstract

“…Several groups have published similar experience in use with blepharoplasty 3–6 . In recent years, Desciak et al, 7 Hudson et al, 8 Jelks et al, 9 and Okazaki et al 10 have reported its use to prevent ectropion in infraorbital reconstruction after cancer excision or cervicofacial flap transposition. However, to date, there has been no reported alternative eyelid suspension method that addresses the aforementioned shortcomings of the Frost suture.…”

Section: Introductionmentioning

confidence: 99%