Prefabricated composite graft for eyelid reconstruction

Giovanni Nicoletti, Omar Jaber, Marco Mario Tresoldi, Tommaso Pellegatta, Angela Faga

Research output: Contribution to journalArticle

1 Citation (Scopus)

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 languageEnglish
Pages (from-to)534-538
Number of pages5
JournalFacial Plastic Surgery
Volume31
Issue number5
DOIs
Publication statusPublished - Oct 1 2015

Fingerprint

Eyelids
Transplants
Nasal Septum
Myocutaneous Flap
Basal Cell Carcinoma
Mouth Mucosa
Local Anesthesia
Skin

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 journalArticle

Nicoletti, Giovanni ; Jaber, Omar ; Tresoldi, Marco Mario ; Pellegatta, Tommaso ; Faga, Angela. / Prefabricated composite graft for eyelid reconstruction. In: Facial Plastic Surgery. 2015 ; Vol. 31, No. 5. pp. 534-538.
@article{929c45de7c2a48b3a9f29c620dcbb2de,
title = "Prefabricated composite graft for eyelid reconstruction",
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.",
keywords = "auricular cartilage graft, chondromucosal, eyelid reconstruction, graft, posterior lamella, prefabricated graft",
author = "Giovanni Nicoletti and Omar Jaber and Tresoldi, {Marco Mario} and Tommaso Pellegatta and Angela Faga",
year = "2015",
month = "10",
day = "1",
doi = "10.1055/s-0035-1564584",
language = "English",
volume = "31",
pages = "534--538",
journal = "Facial Plastic Surgery",
issn = "0736-6825",
publisher = "Thieme Medical Publishers",
number = "5",

}

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

VL - 31

SP - 534

EP - 538

JO - Facial Plastic Surgery

JF - Facial Plastic Surgery

SN - 0736-6825

IS - 5

ER -