Abstract
The authors propose a prefabricated chondromucosal composite graft to reconstruct full-thickness defects of the lower eyelid. The technique was used in a patient suffering from a locally invasive basal cell carcinoma of the lower eyelid, who had previously undergone an extensive submucosal nasal septum resection. One week prior to the eyelid resection, the anterior skin surface of the auricular concha was replaced with a full-thickness oral mucosa graft. One week later, a full-thickness excision of the right lower eyelid was performed and the prefabricated chondromucosal auricular graft was used to restore the posterior lamella. The anterior lamella was reconstructed with a bipedicled myocutaneous flap from the upper eyelid. Because of the patient's scheduling needs, the medial pedicle of the flap was divided 28 days later and the lateral one after further 37 days. All the procedures were performed under local anesthesia. This technique adds a simple key detail to other time-honored reliable techniques, thus outlining an extremely convenient sequence for full-thickness eyelid reconstruction. The easily prepared prefabricated chondromucosal graft might be associated with any of the previously described flaps, thus providing a versatile and reliable method of posterior lamella reconstruction.
| Original language | English |
|---|---|
| Pages (from-to) | 534-538 |
| Number of pages | 5 |
| Journal | Facial Plastic Surgery |
| Volume | 31 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - Oct 1 2015 |
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Keywords
- auricular cartilage graft
- chondromucosal
- eyelid reconstruction
- graft
- posterior lamella
- prefabricated graft
ASJC Scopus subject areas
- Surgery
Cite this
Prefabricated composite graft for eyelid reconstruction. / Nicoletti, Giovanni; Jaber, Omar; Tresoldi, Marco Mario; Pellegatta, Tommaso; Faga, Angela.
In: Facial Plastic Surgery, Vol. 31, No. 5, 01.10.2015, p. 534-538.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Prefabricated composite graft for eyelid reconstruction
AU - Nicoletti, Giovanni
AU - Jaber, Omar
AU - Tresoldi, Marco Mario
AU - Pellegatta, Tommaso
AU - Faga, Angela
PY - 2015/10/1
Y1 - 2015/10/1
N2 - The authors propose a prefabricated chondromucosal composite graft to reconstruct full-thickness defects of the lower eyelid. The technique was used in a patient suffering from a locally invasive basal cell carcinoma of the lower eyelid, who had previously undergone an extensive submucosal nasal septum resection. One week prior to the eyelid resection, the anterior skin surface of the auricular concha was replaced with a full-thickness oral mucosa graft. One week later, a full-thickness excision of the right lower eyelid was performed and the prefabricated chondromucosal auricular graft was used to restore the posterior lamella. The anterior lamella was reconstructed with a bipedicled myocutaneous flap from the upper eyelid. Because of the patient's scheduling needs, the medial pedicle of the flap was divided 28 days later and the lateral one after further 37 days. All the procedures were performed under local anesthesia. This technique adds a simple key detail to other time-honored reliable techniques, thus outlining an extremely convenient sequence for full-thickness eyelid reconstruction. The easily prepared prefabricated chondromucosal graft might be associated with any of the previously described flaps, thus providing a versatile and reliable method of posterior lamella reconstruction.
AB - The authors propose a prefabricated chondromucosal composite graft to reconstruct full-thickness defects of the lower eyelid. The technique was used in a patient suffering from a locally invasive basal cell carcinoma of the lower eyelid, who had previously undergone an extensive submucosal nasal septum resection. One week prior to the eyelid resection, the anterior skin surface of the auricular concha was replaced with a full-thickness oral mucosa graft. One week later, a full-thickness excision of the right lower eyelid was performed and the prefabricated chondromucosal auricular graft was used to restore the posterior lamella. The anterior lamella was reconstructed with a bipedicled myocutaneous flap from the upper eyelid. Because of the patient's scheduling needs, the medial pedicle of the flap was divided 28 days later and the lateral one after further 37 days. All the procedures were performed under local anesthesia. This technique adds a simple key detail to other time-honored reliable techniques, thus outlining an extremely convenient sequence for full-thickness eyelid reconstruction. The easily prepared prefabricated chondromucosal graft might be associated with any of the previously described flaps, thus providing a versatile and reliable method of posterior lamella reconstruction.
KW - auricular cartilage graft
KW - chondromucosal
KW - eyelid reconstruction
KW - graft
KW - posterior lamella
KW - prefabricated graft
UR - http://www.scopus.com/inward/record.url?scp=84947753044&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84947753044&partnerID=8YFLogxK
U2 - 10.1055/s-0035-1564584
DO - 10.1055/s-0035-1564584
M3 - Article
C2 - 26579869
AN - SCOPUS:84947753044
VL - 31
SP - 534
EP - 538
JO - Facial Plastic Surgery
JF - Facial Plastic Surgery
SN - 0736-6825
IS - 5
ER -