Upper eyelid skin grafting: An effective treatment for lagophthalmos following blepharoplasty
Patients who have undergone upper blepharoplasty occasionally develop anterior lamellar insufficiency, which can result in lagophthalmos, corneal decompensation, and even blindness. Historically, skin grafts in the upper eyelid have been considered a last-resort procedure because of poor cosmetic ou...
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| Veröffentlicht in: | Plastic and reconstructive surgery (1963) 2003-10, Vol.112 (5), p.1444-1448 |
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| container_title | Plastic and reconstructive surgery (1963) |
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| creator | SHORR, Norman GOLDBERG, Robert A MCCANN, John D HOENIG, Jonathan A LI, Tina G |
| description | Patients who have undergone upper blepharoplasty occasionally develop anterior lamellar insufficiency, which can result in lagophthalmos, corneal decompensation, and even blindness. Historically, skin grafts in the upper eyelid have been considered a last-resort procedure because of poor cosmetic outcomes. Poor cosmetic outcomes result from the traditional practice of placing the skin graft above the eyelid crease. This article describes a surgical technique for upper eyelid skin grafting in which the graft is placed in a supraciliary position. Presented are results of a retrospective study of 20 patients (31 eyelids) who underwent supraciliary upper eyelid skin grafting. The postoperative results were evaluated by examining the improvement in lagophthalmos, the improvement of keratopathy and comfort of the patient, and the cosmetic appearance of the graft. Upper eyelid skin grafting using this surgical technique is an effective and cosmetically acceptable method to improve corneal integrity and comfort in patients who have corneal exposure from insufficient anterior lamella after upper eyelid or eyebrow surgery. |
| doi_str_mv | 10.1097/01.PRS.0000081477.02812.C9 |
| format | Article |
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Historically, skin grafts in the upper eyelid have been considered a last-resort procedure because of poor cosmetic outcomes. Poor cosmetic outcomes result from the traditional practice of placing the skin graft above the eyelid crease. This article describes a surgical technique for upper eyelid skin grafting in which the graft is placed in a supraciliary position. Presented are results of a retrospective study of 20 patients (31 eyelids) who underwent supraciliary upper eyelid skin grafting. The postoperative results were evaluated by examining the improvement in lagophthalmos, the improvement of keratopathy and comfort of the patient, and the cosmetic appearance of the graft. 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Historically, skin grafts in the upper eyelid have been considered a last-resort procedure because of poor cosmetic outcomes. Poor cosmetic outcomes result from the traditional practice of placing the skin graft above the eyelid crease. This article describes a surgical technique for upper eyelid skin grafting in which the graft is placed in a supraciliary position. Presented are results of a retrospective study of 20 patients (31 eyelids) who underwent supraciliary upper eyelid skin grafting. The postoperative results were evaluated by examining the improvement in lagophthalmos, the improvement of keratopathy and comfort of the patient, and the cosmetic appearance of the graft. Upper eyelid skin grafting using this surgical technique is an effective and cosmetically acceptable method to improve corneal integrity and comfort in patients who have corneal exposure from insufficient anterior lamella after upper eyelid or eyebrow surgery.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Blepharoplasty - adverse effects</subject><subject>Diseases of eyelid, conjunctiva and lacrimal tracts</subject><subject>Eyelids - surgery</subject><subject>Female</subject><subject>Graft Survival</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Ophthalmology</subject><subject>Postoperative Period</subject><subject>Retrospective Studies</subject><subject>Skin Transplantation</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Graft diseases</topic><topic>Surgery of the eye and orbit</topic><topic>Wound Healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SHORR, Norman</creatorcontrib><creatorcontrib>GOLDBERG, Robert A</creatorcontrib><creatorcontrib>MCCANN, John D</creatorcontrib><creatorcontrib>HOENIG, Jonathan A</creatorcontrib><creatorcontrib>LI, Tina G</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Plastic and reconstructive surgery (1963)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SHORR, Norman</au><au>GOLDBERG, Robert A</au><au>MCCANN, John D</au><au>HOENIG, Jonathan A</au><au>LI, Tina G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Upper eyelid skin grafting: An effective treatment for lagophthalmos following blepharoplasty</atitle><jtitle>Plastic and reconstructive surgery (1963)</jtitle><addtitle>Plast Reconstr Surg</addtitle><date>2003-10-01</date><risdate>2003</risdate><volume>112</volume><issue>5</issue><spage>1444</spage><epage>1448</epage><pages>1444-1448</pages><issn>0032-1052</issn><eissn>1529-4242</eissn><abstract>Patients who have undergone upper blepharoplasty occasionally develop anterior lamellar insufficiency, which can result in lagophthalmos, corneal decompensation, and even blindness. Historically, skin grafts in the upper eyelid have been considered a last-resort procedure because of poor cosmetic outcomes. Poor cosmetic outcomes result from the traditional practice of placing the skin graft above the eyelid crease. This article describes a surgical technique for upper eyelid skin grafting in which the graft is placed in a supraciliary position. Presented are results of a retrospective study of 20 patients (31 eyelids) who underwent supraciliary upper eyelid skin grafting. The postoperative results were evaluated by examining the improvement in lagophthalmos, the improvement of keratopathy and comfort of the patient, and the cosmetic appearance of the graft. Upper eyelid skin grafting using this surgical technique is an effective and cosmetically acceptable method to improve corneal integrity and comfort in patients who have corneal exposure from insufficient anterior lamella after upper eyelid or eyebrow surgery.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>14504530</pmid><doi>10.1097/01.PRS.0000081477.02812.C9</doi><tpages>5</tpages></addata></record> |
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| ispartof | Plastic and reconstructive surgery (1963), 2003-10, Vol.112 (5), p.1444-1448 |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Aged Aged, 80 and over Biological and medical sciences Blepharoplasty - adverse effects Diseases of eyelid, conjunctiva and lacrimal tracts Eyelids - surgery Female Graft Survival Humans Medical sciences Middle Aged Ophthalmology Postoperative Period Retrospective Studies Skin Transplantation Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the eye and orbit Wound Healing |
| title | Upper eyelid skin grafting: An effective treatment for lagophthalmos following blepharoplasty |
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