| Upper Eyelid Reconstruction Using the Medpor(R) Sheet and Median Forehead Flap. |
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Ji Hye Jang, Sung Dong Chang |
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Department of Ophthalmology, College of Medicine, Keimyung University, Daegu, Korea. changsd@dsmc.or.kr |
| 눈꺼풀판 대용물로 다공성 폴리에틸렌판을 이용한 중앙이마피판 눈꺼풀 재건술 |
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장지혜ㆍ장성동 |
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Department of Ophthalmology, College of Medicine, Keimyung University, Daegu, Korea |
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| Abstract |
PURPOSE
To report the upper eyelid reconstruction with median forehead flap and Medpor(R) sheet implant following full-thickness 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(R) 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(R) sheet. The eyelid had a good cosmetic contour and the movement of the eyelid during blinking was natural. CONCLUSIONS: The use of a Medpor(R) sheet as a substitute for a tarsal plate in reconstructive procedures of the upper eyelid defect shows cosmetic and functional success. |
| Key Words:
Median forehead flap;Medpor(R) sheet;Upper eyelid reconstruction |
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