|
KMID : 0360220090500071105
|
|
Journal of the Korean Ophthalmological Society
2009 Volume.50 No. 7 p.1105 ~ p.1110
|
|
|
Upper Eyelid Reconstruction Using the Medpor® Sheet and Median Forehead Flap
|
|
Jang Ji-Hye
Chang Sung-Dong
|
|
|
Abstract
|
|
|
Purpose: To report the upper eyelid reconstruction with median forehead flap and Medpor® sheet implant following fullthickness eyelid defect resulting from tumor resection.
Case Summary: A 65-year-old woman was examined at our hospital for a recurrent mass on the right upper eyelid. A wide tumor excision with a 3 mm margin and an eyelid reconstruction procedure were performed after a frozen section biopsy revealed a malignancy. The full-thickness eyelid defect was reconstructed with a median forehead flap as a substitute for skin and muscle and a Medpor® sheet substituted for tarsal plate was sutured with a lower conjunctiva flap for posterior lamella. The histopathology diagnosis of the lesion showed a well-differentiated squamous cell carcinoma. The lower conjunctiva was separated at 2 weeks after surgery, and then the median forehead flap detached from the upper eyelid skin at 8 weeks after surgery. One year postoperatively, there was no evidence of a wound infection and an exposure of the Medpor® sheet. The eyelid had a good cosmetic contour and the movement of the eyelid during blinking was natural.
Conclusions: The use of a Medpor® sheet as a substitute for a tarsal plate in reconstructive procedures of the upper eyelid defect shows cosmetic and functional success.
|
|
|
KEYWORD
|
|
|
Median forehead flap, Medpor® sheet, Upper eyelid reconstruction
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|