Unit:
Κατεύθυνση Χειρουργική ΑνατομίαLibrary of the School of Health Sciences
Author:
Dalianoudis Ioannis
Supervisors info:
Σκανδαλάκης Παναγιώτης, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ, Επιβλέπων
Πρωτογέρου Βασίλης, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Δεμέστιχα Θεανώ, Αναπληρώτρια Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Χειρουργική ανατομία της περιοφθάλμιας χώρας και των περιτονιών της κεφαλής και του προσώπου. Η σημασία τους στις τεχνικές αποκατάστασης των ελλειμμάτων της περιοφθάλμιας χώρας
Translated title:
surgical anatomy of the periorbital area and fascia of the head and neck. Their importance in the reconstruction of the periorbital area defects
Summary:
Reconstruction of eyelid defects presents a difficult task for plastic surgeons, especially
when the full-thickness defects of both the upper and lower eyelids must be reconstructed.
We present a case of a 55-year-old man with neglected basal cell carcinoma of both the
upper and lower eyelids in the right eye. After oncological resection, defects were
encountered in the total lower eyelid and half of the upper eyelid. The temporoparietal
fascia flap was used for the reconstruction of both the upper and lower eyelids after an
incision between the frontal and parietal branches of the temporal artery. A composite graft
from the nasal septum was sutured to the temporoparietal fascia and was used to
reconstruct the posterior lamella, while the anterior one was reconstructed with a fullthickness
skin graft. Postoperative aesthetic results were good, except for reduced upper
eyelid motion. The described method offers an efficient, effective alternative for eyelid
reconstruction.
Main subject category:
Health Sciences
Keywords:
Eyelid reconstruction, Superficial temporal fascial flap, Single stage reconstruction, Surgical anatomy periorbital area
Number of references:
240
