Dynamic Upper Eyelid Reconstruction for Total Periorbital Soft Tissue Loss

Total eyelid defect comprises full-thickness loss of both upper and lower eyelids in a patient. It is a rare and devastating condition with serious implications related to vision, which mandates early and functional reconstruction when associated with intact globe. The primary goal is to give a stab...

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Main Authors: Madhubari Vathulya, Nishank Manohar, Manish Pradip Jagtap, Vishal Mago, Praveen A. Jayaprakash
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2022-05-01
Series:Archives of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1748639
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author Madhubari Vathulya
Nishank Manohar
Manish Pradip Jagtap
Vishal Mago
Praveen A. Jayaprakash
author_facet Madhubari Vathulya
Nishank Manohar
Manish Pradip Jagtap
Vishal Mago
Praveen A. Jayaprakash
author_sort Madhubari Vathulya
collection DOAJ
description Total eyelid defect comprises full-thickness loss of both upper and lower eyelids in a patient. It is a rare and devastating condition with serious implications related to vision, which mandates early and functional reconstruction when associated with intact globe. The primary goal is to give a stable coverage for orbital protection but at the same time provide a functional reconstruction of the defect, to allow for adequate mobility of the eyelids so that the patient's vision is restored to normal with minimal disability. When the defect is massive, and in the absence of loco-regional flaps, microvascular tissue transfer is needed. In this report we describe a radial-artery-based microvascular tissue transfer with a unique innovation utilizing the contralateral frontalis muscle to reconstruct a case of unilateral total upper and lower eyelid loss.
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spelling doaj.art-90822fc669e34d08a7f31ee37d3086a12022-12-22T04:24:30ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712022-05-01490331932310.1055/s-0042-1748639Dynamic Upper Eyelid Reconstruction for Total Periorbital Soft Tissue LossMadhubari Vathulya0Nishank Manohar1Manish Pradip Jagtap2Vishal Mago3Praveen A. Jayaprakash4Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, IndiaDepartment of Burns and Plastic Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, IndiaDepartment of Burns and Plastic Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, IndiaDepartment of Burns and Plastic Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, IndiaDepartment of Burns and Plastic Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, IndiaTotal eyelid defect comprises full-thickness loss of both upper and lower eyelids in a patient. It is a rare and devastating condition with serious implications related to vision, which mandates early and functional reconstruction when associated with intact globe. The primary goal is to give a stable coverage for orbital protection but at the same time provide a functional reconstruction of the defect, to allow for adequate mobility of the eyelids so that the patient's vision is restored to normal with minimal disability. When the defect is massive, and in the absence of loco-regional flaps, microvascular tissue transfer is needed. In this report we describe a radial-artery-based microvascular tissue transfer with a unique innovation utilizing the contralateral frontalis muscle to reconstruct a case of unilateral total upper and lower eyelid loss.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1748639reconstructiveeyelidstendondegloving injuryfree tissue
spellingShingle Madhubari Vathulya
Nishank Manohar
Manish Pradip Jagtap
Vishal Mago
Praveen A. Jayaprakash
Dynamic Upper Eyelid Reconstruction for Total Periorbital Soft Tissue Loss
Archives of Plastic Surgery
reconstructive
eyelids
tendon
degloving injury
free tissue
title Dynamic Upper Eyelid Reconstruction for Total Periorbital Soft Tissue Loss
title_full Dynamic Upper Eyelid Reconstruction for Total Periorbital Soft Tissue Loss
title_fullStr Dynamic Upper Eyelid Reconstruction for Total Periorbital Soft Tissue Loss
title_full_unstemmed Dynamic Upper Eyelid Reconstruction for Total Periorbital Soft Tissue Loss
title_short Dynamic Upper Eyelid Reconstruction for Total Periorbital Soft Tissue Loss
title_sort dynamic upper eyelid reconstruction for total periorbital soft tissue loss
topic reconstructive
eyelids
tendon
degloving injury
free tissue
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1748639
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AT nishankmanohar dynamicuppereyelidreconstructionfortotalperiorbitalsofttissueloss
AT manishpradipjagtap dynamicuppereyelidreconstructionfortotalperiorbitalsofttissueloss
AT vishalmago dynamicuppereyelidreconstructionfortotalperiorbitalsofttissueloss
AT praveenajayaprakash dynamicuppereyelidreconstructionfortotalperiorbitalsofttissueloss