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. 2010 Apr;17(2):161-4.
doi: 10.4103/0974-9233.63083.

Reconstruction of large upper eyelid defect with two composite lid margin grafts

Amr Hafez  1
Affiliations

Reconstruction of large upper eyelid defect with two composite lid margin grafts

Amr Hafez. Middle East Afr J Ophthalmol. 2010 Apr.

Abstract

Purpose: To evaluate the results of reconstruction of large defects in the upper lid using two composite contra-lateral eyelid margin grafts.

Methods: This is an interventional case series in which a large full thickness defect of the upper lid was reconstructed in 7 patients using two composite eyelid margin grafts and myocutaneous advancement. The grafts were taken from both eyelids of the contra lateral eye and the final outcome was evaluated.

Results: Cosmetic results were achieved in both donor and recipient eyes satisfying to all patients; no graft sloughing was seen. Transient edema, punctate epithelial erosions, lid notching, madarosis and ptosis were seen in the early postoperative period.

Conclusion: Reconstruction of a large defect in the upper lid with two composite eyelid-margin grafts is an easy, safe, effective technique with minimal complications.

Keywords: Composite Eyelid Grafts; Lid Margin Defect; Lid Tumors; Upper Lid Reconstruction.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
A- Left upper lid tumor. B- Lid defects after excision of the tumor (left eye) and the two pentagons (right eye). C- Two composite grafts in place. D- Lids reconstructed. E- Fourth postoperative day with sutures not yet removed
See this image and copyright information in PMC

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