[Technology of new methods for adaptation of skin flaps, by using compression plates during reparative operations in...

Oligocarbonate methacrylate-based hexahedral compression plates (CPs) are proposed for adjustment of wound edges and skin grafts during reconstructive operations in the eyelid area and its adjacent tissues. A hundred and twenty-eight reparative operations in the eyelid and its adjacent tissues, by employing various plastic repairs, were analyzed to make a clinical evaluation of the efficiency of the soft tissue adjustment technique, by applying CPs. The CPs proposed for the adjustment of wound edges and skin grafts to the adjacent tissues were used in 70% of cases. There is evidence for the reliable fixation of wound edges and skin grafts to the adjacent structures by means of CPs without negative effects of mimic and chewing muscles. In the presence of complex orbital and periorbital relief, microanatomic structures, and tissue deficiency, CPs provide a valid connection of the edges of skin wounds throughout healing and permanent microdraining of the postoperative space, reduce the number of complications, and ensure an uncomplicated course of reparative processes, by forming a fine delicate scar in 98.89% of cases. The proposed way of adjusting wound edges and skin grafts to the adjacent tissues improves the cosmetic and functional results of reconstructive operations in the orbital and periorbital areas.