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Case Reports
. 2023;12(1):75-79.
doi: 10.52547/wjps.12.1.75.

Medial Canthal Reconstruction - Scar Restricting Vision in Only Seeing Eye of a 75-year-old Female

Affiliations
Case Reports

Medial Canthal Reconstruction - Scar Restricting Vision in Only Seeing Eye of a 75-year-old Female

Aayush Sharma et al. World J Plast Surg. 2023.

Abstract

Scarring is a common post-injury outcome that can precipitate functional impairment. We present the case of a 75-year-old female who presented with diminished upper eyelid excursion in her right (only seeing) eye due to scarring associated with a facial laceration. She had a history of right eye corneal transplantation and necessitated urgent excision of the scar to release upper eyelid motion. The scar was excised, and a full-thickness skin graft (FTSG) was used, harvested from the skin of the right supraclavicular neck. Post-operative recovery was excellent, and the patient was relieved of restriction of her right upper eyelid opening.

Keywords: Full-thickness skin graft; Medial canthus; Reconstruction; Z-plasty.

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Conflict of interest statement

None declared by authors.

Figures

Figure 1
Figure 1
Forehead laceration scar involving the right medial canthus. Note the limited mobility of the upper eyelid
Figure 2
Figure 2
Intraoperative removal of scar tissue
Figure 3
Figure 3
3-month postoperative follow-up. Patient is able to sustain eye opening

References

    1. Zito PM, Jawad BA. Mazzoni T. Z Plasty. In: StatPearls [Internet]. Treasure Island . FL): StatPearls Publishing : 2022. [cited 2022 Nov 11]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK507775.
    1. Kim BJ, Lee SJ. Correction of a post-traumatic scar fold in the lateral canthus using modified Z-plasty. Arch Craniofac Surg. 2018 Mar;19(1):51–4. - PMC - PubMed
    1. Harvey J. Modified “double-Z-plasty” in the closure of medial canthal defects. Ophthalmic Surg. 1987 Feb;18(2):120–2. - PubMed
    1. Rathore DS, Chickadasarahilli S, Crossman R, Mehta P, Ahluwalia HS. Full Thickness Skin Grafts in Periocular Reconstructions: Long-Term Outcomes. Ophthalmic Plastic & Reconstructive Surgery. 2014 Dec;30(6):517–20. - PubMed
    1. Czyz CN, Cahill KV, Foster JA, Michels KS, Clark CM, Rich NE. Reconstructive options for the medial canthus and eyelids following tumor excision. Saudi J Ophthalmol. 2011 Jan;25(1):67–74. - PMC - PubMed

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