دورية أكاديمية
A novel technique for full thickness medial canthal reconstruction; playing with broken lines.
العنوان: | A novel technique for full thickness medial canthal reconstruction; playing with broken lines. |
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المؤلفون: | Rajabi MT; Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran., Hosseini SS; Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran., Rajabi MB; Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran., Tabatabaie SZ; Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran. |
المصدر: | Journal of current ophthalmology [J Curr Ophthalmol] 2016 Sep 02; Vol. 28 (4), pp. 212-216. Date of Electronic Publication: 2016 Sep 02 (Print Publication: 2016). |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Wolters Kluwer - Medknow Country of Publication: India NLM ID: 101678509 Publication Model: eCollection Cited Medium: Print ISSN: 2452-2325 (Print) Linking ISSN: 24522325 NLM ISO Abbreviation: J Curr Ophthalmol Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Publication: 2020- : Mumbai, India : Wolters Kluwer - Medknow Original Publication: [Tehran] : Iranian Society of Ophthalmology, production and hosting by Elsevier B.V., [2015]- |
مستخلص: | Purpose: To introduce a new modification of transposition flap technique for reconstruction of the medial canthal region. Methods: This prospective study included 58 patients with the full thickness involvement of both upper and lower lid in the medial canthal area. Reconstruction of posterior lamella was performed by utilizing periosteal flaps and tarsoconjunctival grafts, and anterior lamellar reconstruction was performed using transposition of multiple full-thickness skin flaps, a modified form of rhomboid flap technique. Post-surgical outcomes, advantages, and drawbacks of this technique are discussed. Results: Between 2010 and 2014, 58 patients with basal cell carcinoma (BCC), proven by histopathologic study, underwent medial canthal reconstruction. The mean age was 72.8 ± 8.3 years. In 30 patients, the lacrimal apparatus was excised, and periosteal flaps or tarsoconjunctival grafts were prepared to reconstruct the posterior lamella. Anterior lamellar reconstruction was performed in all patients, and the mean number of transposition flaps was 3.63 in addition to the blepharoplasty flap. Patients were followed for 24 months. None of the patients developed flap necrosis or other intraoperative and postoperative complications, with acceptable aesthetic and functional outcomes. Conclusion: Full-thickness reconstruction of the medial canthal area by utilizing periosteal flaps and modified transposition flap technique all in one session can be considered an alternative method in medial canthal reconstruction, with acceptable functional and aesthetic outcomes. |
References: | Arch Ophthalmol. 2006 Jan;124(1):111-5. (PMID: 16401793) Plast Reconstr Surg. 2002 Dec;110(7):1636-43. (PMID: 12447042) J Plast Reconstr Aesthet Surg. 2006;59(7):747-51. (PMID: 16782572) Can J Plast Surg. 2008 Fall;16(3):170-2. (PMID: 19721798) Br J Ophthalmol. 2001 May;85(5):556-9. (PMID: 11316716) Ophthalmologica. 2006;220(6):368-71. (PMID: 17095881) Plast Reconstr Surg. 2007 Feb;119(2):537-41. (PMID: 17230086) |
فهرسة مساهمة: | Keywords: Medial canthal reconstruction; Modified transposition flap technique; Periosteal flap; Rhomboid |
تواريخ الأحداث: | Date Created: 20161111 Latest Revision: 20200928 |
رمز التحديث: | 20231215 |
مُعرف محوري في PubMed: | PMC5093779 |
DOI: | 10.1016/j.joco.2016.08.001 |
PMID: | 27830206 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2452-2325 |
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DOI: | 10.1016/j.joco.2016.08.001 |