Eyelid Skin Grafting in Young Patients with Facial Nerve Palsy
<b>Background</b>: The aim of this study is to report outcomes of eyelid full-thickness skin grafting augmentation in facial nerve palsy (FNP) patients younger than 50 years of age. <b>Methods</b>: In a retrospective, consecutive case series, nine eyelid skin grafts performed...
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MDPI AG
2024-04-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/13/7/2142 |
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| author | Yinon Shapira Katja Ullrich Sundas Masqood Linda Okafor Raman Malhotra |
| author_facet | Yinon Shapira Katja Ullrich Sundas Masqood Linda Okafor Raman Malhotra |
| author_sort | Yinon Shapira |
| collection | DOAJ |
| description | <b>Background</b>: The aim of this study is to report outcomes of eyelid full-thickness skin grafting augmentation in facial nerve palsy (FNP) patients younger than 50 years of age. <b>Methods</b>: In a retrospective, consecutive case series, nine eyelid skin grafts performed on eight FNP patients with skin contraction (five females; median age 42 years [range, 17–47]) are presented. In most cases, upper eyelid skin grafting was combined with levator recession and anterior lamellar repositioning. Lower eyelid skin grafting was combined with lower retractors recession in all cases. Functional and cosmetic outcomes were measured preoperatively and at early (1–3 months), intermediate (3–6 months), and late (≥12 months) follow-up. <b>Results</b>: The corneal score improved at early follow-up (<i>p</i> = 0.03) and remained improved at late follow-up (<i>p</i> = 0.042). The gentle closure lagophthalmos was improved at late follow-up (<i>p</i> = 0.042). (<i>p</i> = 0.048). The grades of graft color, edge/skin interface, and size improved at 3–6 months post-grafting and remained improved at late follow-up (<i>p</i> < 0.05). Over the follow-up, four patients (50%) were recommended to have further surgical procedures. <b>Conclusions</b>: The preliminary results from this small cohort suggest that eyelid skin grafting is a viable option for young patients prioritizing cosmesis. This technique warrants consideration for its functional benefits. |
| first_indexed | 2024-04-24T10:41:26Z |
| format | Article |
| id | doaj.art-a07497058ea74a8d814e3ebb3ce4c52c |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-04-24T10:41:26Z |
| publishDate | 2024-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-a07497058ea74a8d814e3ebb3ce4c52c2024-04-12T13:21:40ZengMDPI AGJournal of Clinical Medicine2077-03832024-04-01137214210.3390/jcm13072142Eyelid Skin Grafting in Young Patients with Facial Nerve PalsyYinon Shapira0Katja Ullrich1Sundas Masqood2Linda Okafor3Raman Malhotra4Department of Ophthalmology, Carmel Medical Center, Haifa 3436212, IsraelDepartment of Ophthalmology, Queen Elizabeth Hospital, Adelaide, SA 5011, AustraliaCorneoplastic Unit, Queen Victoria Hospital NHS Trust, East Grinstead RH19 3DZ, UKCorneoplastic Unit, Queen Victoria Hospital NHS Trust, East Grinstead RH19 3DZ, UKCorneoplastic Unit, Queen Victoria Hospital NHS Trust, East Grinstead RH19 3DZ, UK<b>Background</b>: The aim of this study is to report outcomes of eyelid full-thickness skin grafting augmentation in facial nerve palsy (FNP) patients younger than 50 years of age. <b>Methods</b>: In a retrospective, consecutive case series, nine eyelid skin grafts performed on eight FNP patients with skin contraction (five females; median age 42 years [range, 17–47]) are presented. In most cases, upper eyelid skin grafting was combined with levator recession and anterior lamellar repositioning. Lower eyelid skin grafting was combined with lower retractors recession in all cases. Functional and cosmetic outcomes were measured preoperatively and at early (1–3 months), intermediate (3–6 months), and late (≥12 months) follow-up. <b>Results</b>: The corneal score improved at early follow-up (<i>p</i> = 0.03) and remained improved at late follow-up (<i>p</i> = 0.042). The gentle closure lagophthalmos was improved at late follow-up (<i>p</i> = 0.042). (<i>p</i> = 0.048). The grades of graft color, edge/skin interface, and size improved at 3–6 months post-grafting and remained improved at late follow-up (<i>p</i> < 0.05). Over the follow-up, four patients (50%) were recommended to have further surgical procedures. <b>Conclusions</b>: The preliminary results from this small cohort suggest that eyelid skin grafting is a viable option for young patients prioritizing cosmesis. This technique warrants consideration for its functional benefits.https://www.mdpi.com/2077-0383/13/7/2142facial nerve palsyskin graftyoung patientslagophthalmoseyelid retractionskin contraction |
| spellingShingle | Yinon Shapira Katja Ullrich Sundas Masqood Linda Okafor Raman Malhotra Eyelid Skin Grafting in Young Patients with Facial Nerve Palsy Journal of Clinical Medicine facial nerve palsy skin graft young patients lagophthalmos eyelid retraction skin contraction |
| title | Eyelid Skin Grafting in Young Patients with Facial Nerve Palsy |
| title_full | Eyelid Skin Grafting in Young Patients with Facial Nerve Palsy |
| title_fullStr | Eyelid Skin Grafting in Young Patients with Facial Nerve Palsy |
| title_full_unstemmed | Eyelid Skin Grafting in Young Patients with Facial Nerve Palsy |
| title_short | Eyelid Skin Grafting in Young Patients with Facial Nerve Palsy |
| title_sort | eyelid skin grafting in young patients with facial nerve palsy |
| topic | facial nerve palsy skin graft young patients lagophthalmos eyelid retraction skin contraction |
| url | https://www.mdpi.com/2077-0383/13/7/2142 |
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