Surgical Outcome of Autogenic Hard Palate Grafts in Lower Eyelid Reconstruction
Purpose: To evaluate the surgical outcome of autogenic hard palate mucosal grafts (HPMGs) in full-thickness lower eyelid reconstruction following tumor excision. Material and Method: The medical records of patients who had full-thickness lower eyelid tumor excision between 2005 and 2009 were retr...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2013-12-01
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| Series: | Türk Oftalmoloji Dergisi |
| Subjects: | |
| Online Access: | http://www.oftalmoloji.org/article_2320/Surgical-Outcome-Of-Autogenic-Hard-Palate-Grafts-In-Lower-Eyelid-Reconstruction |
| _version_ | 1828022208076709888 |
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| author | İlke Bahçeci Şimşek Özge Yabaş Kızıloğlu Şule Ziylan |
| author_facet | İlke Bahçeci Şimşek Özge Yabaş Kızıloğlu Şule Ziylan |
| author_sort | İlke Bahçeci Şimşek |
| collection | DOAJ |
| description | Purpose: To evaluate the surgical outcome of autogenic hard palate mucosal grafts (HPMGs) in full-thickness lower eyelid reconstruction
following tumor excision.
Material and Method: The medical records of patients who had full-thickness lower eyelid tumor excision between 2005 and 2009 were
retrospectively reviewed. Seven patients who had HPMG for posterior lamellar reconstruction were included in the study. Graft complications
like necrosis, contraction, excessive mucous discharge, and potential problems in the graft harvesting site and technique were evaluated.
Results: Seven eyelid reconstructions with HPMG were performed on 4 female and 3 male patients with an age range of 48 to 71 years at
surgery. The patients were followed for 6 to 56 months. Two patients had inferior eyelid retraction - one of them was severe and the other one
was mild. None of the patients had HPMG necrosis. Donor site haemorrhage occurred in two patients which was controlled with direct pressure
and cauterization in the early postoperative period.
Discussion: HPMGs have been the golden standard for the reconstruction of posterior lamellar eyelid defects. The main problem
about these grafts is that the oral cavity is an unusual region for ophthalmologists with potential complications arising from the hard
palate. Comprehension of the anatomy, proper surgical technique, and postoperative care can decrease the rate of these complications.
(Turk J Ophthalmol 2013; 43: 442-5) |
| first_indexed | 2024-04-10T12:05:52Z |
| format | Article |
| id | doaj.art-62e3a70d57c44608bc1693ac4d8b506b |
| institution | Directory Open Access Journal |
| issn | 1300-0659 2147-2661 |
| language | English |
| last_indexed | 2024-04-10T12:05:52Z |
| publishDate | 2013-12-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Türk Oftalmoloji Dergisi |
| spelling | doaj.art-62e3a70d57c44608bc1693ac4d8b506b2023-02-15T16:16:18ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612013-12-0143644244510.4274/tjo.04934Surgical Outcome of Autogenic Hard Palate Grafts in Lower Eyelid Reconstructionİlke Bahçeci Şimşek0Özge Yabaş Kızıloğlu1Şule Ziylan2Medicine Hastanesi, Göz Hastalıkları Kliniği, İstanbul, TürkiyeGöztepe Medikal Park Hastanesi, Göz Hastalıkları Kliniği, İstanbul, TürkiyeYeditepe Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, İstanbul, TürkiyePurpose: To evaluate the surgical outcome of autogenic hard palate mucosal grafts (HPMGs) in full-thickness lower eyelid reconstruction following tumor excision. Material and Method: The medical records of patients who had full-thickness lower eyelid tumor excision between 2005 and 2009 were retrospectively reviewed. Seven patients who had HPMG for posterior lamellar reconstruction were included in the study. Graft complications like necrosis, contraction, excessive mucous discharge, and potential problems in the graft harvesting site and technique were evaluated. Results: Seven eyelid reconstructions with HPMG were performed on 4 female and 3 male patients with an age range of 48 to 71 years at surgery. The patients were followed for 6 to 56 months. Two patients had inferior eyelid retraction - one of them was severe and the other one was mild. None of the patients had HPMG necrosis. Donor site haemorrhage occurred in two patients which was controlled with direct pressure and cauterization in the early postoperative period. Discussion: HPMGs have been the golden standard for the reconstruction of posterior lamellar eyelid defects. The main problem about these grafts is that the oral cavity is an unusual region for ophthalmologists with potential complications arising from the hard palate. Comprehension of the anatomy, proper surgical technique, and postoperative care can decrease the rate of these complications. (Turk J Ophthalmol 2013; 43: 442-5)http://www.oftalmoloji.org/article_2320/Surgical-Outcome-Of-Autogenic-Hard-Palate-Grafts-In-Lower-Eyelid-ReconstructionHard palate graftseyelid tumorseyelid reconstruction |
| spellingShingle | İlke Bahçeci Şimşek Özge Yabaş Kızıloğlu Şule Ziylan Surgical Outcome of Autogenic Hard Palate Grafts in Lower Eyelid Reconstruction Türk Oftalmoloji Dergisi Hard palate grafts eyelid tumors eyelid reconstruction |
| title | Surgical Outcome of Autogenic Hard Palate Grafts in Lower Eyelid Reconstruction |
| title_full | Surgical Outcome of Autogenic Hard Palate Grafts in Lower Eyelid Reconstruction |
| title_fullStr | Surgical Outcome of Autogenic Hard Palate Grafts in Lower Eyelid Reconstruction |
| title_full_unstemmed | Surgical Outcome of Autogenic Hard Palate Grafts in Lower Eyelid Reconstruction |
| title_short | Surgical Outcome of Autogenic Hard Palate Grafts in Lower Eyelid Reconstruction |
| title_sort | surgical outcome of autogenic hard palate grafts in lower eyelid reconstruction |
| topic | Hard palate grafts eyelid tumors eyelid reconstruction |
| url | http://www.oftalmoloji.org/article_2320/Surgical-Outcome-Of-Autogenic-Hard-Palate-Grafts-In-Lower-Eyelid-Reconstruction |
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