International Scientific Surgical Association
Первая международная дистанционная
научно-практическая конференция
"Новые технологии в медицине - 2004"
E.Copcu
The new method in reconstruction of posterior lamella of the eyelid: Posterior Temporalis Fascia Composite Graft
Plastic and Reconstructive Surgery Department, Medical Faculty, Adnan Menderes University
Aydin, Turkey
Abstract. Difficulty of reconstruction of the eyelids arises from the need to reconstruct different supporting and covering structures in a single operation. Defects in the anterior lamella of the eyelids can be readily repaired with skin grafts or flaps but posterior lamellar reconstruction needs more omplex applications. We performed posterior lamellar eyelid reconstruction with posterior parts of the temporalis fascia, since their anatomical and histological features are very similar to the defects. Full thickness eyelid reconstructions were performed with loose areolar layer and deep layer of the temporalis fascia and local flaps in seven cases with eyelid skin tumor. Grafts were harvested very easily. There was no complication related with graft or donor site. Biopsy was performed in three cases and normal conjunctival elements were seen. Functional and aesthetically results were achieved in all patients.
Ideal reconstructive material for replacement of the posterior lamina is still lacking. Tarsal reconstruction can be made with deep temporalis fascia with success since the structural features of the both tissues are very similar and also since the loose areolar layer of the temporalis fascia is very thin and highly vascularized, this layer can be used in reconstruction of the conjunctiva. According to our knowledge this is the first report of using of the posterior part of temporalis fascia as a composite graft in the literature.
Key Words: eyelid reconstruction, temporalis fascia, loose areolar layer, conjunctiva,
tarsal plate
Copcu E. The new method in reconstruction of posterior lamella of the eyelid: Posterior Temporalis Fascia Composite Graft // Новые технологии в медицине: Сб. докл. Первой международной дистанционной науч.-практ. конф., Санкт-Петербург, 15-30 марта 2004 г. СПб, 2004. С. 31-34
E-mail: copcu@lycos.com
