Use of the orbital fat pad in eyelid reconstruction.
J Biol Regul Homeost Agents
; 31(2 Suppl 1): 127-130, 2017.
Article
in En
| MEDLINE
| ID: mdl-28691463
ABSTRACT
Eyelid reconstruction, though challenging, can produce a functional, esthetically pleasing lid. This should preferably be accomplished with a one-stage procedure, using robust, well-vascularized tissues similar to those being replaced, with minimal associated donor morbidity. According to the experience with Bichat pedicled flap in oral reconstruction, the authors propose the use of pedicle infraorbital fat pad for repair of conjunctival defect. Seven patients underwent eyelid reconstruction of full-thickness oncological or post-traumatic defects. In all cases, the reconstruction involved an orbital fat pad flap for the posterior lamella in addition to local flaps for the anterior lamella. All of the flaps survived. The transferred fat flap had a complete epithelization, histologically documented. No tumor relapse occurred in oncological cases. The results have been satisfactory both for clinical evaluation and for the patients. Reconstruction of the palpebral inner lamella with the orbital fat pad is a simple and low-morbidity procedure that has good morphological and functional results.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Surgical Flaps
/
Adipose Tissue
/
Plastic Surgery Procedures
/
Eyelids
Limits:
Humans
Language:
En
Journal:
J Biol Regul Homeost Agents
Year:
2017
Document type:
Article