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Published on: November 11, 2012
Reconstruction of the tarsus-conjunctival layer using a venous wall graft
Cesare Barbera1, Roberto Manzoni, Lucio Dodaro
1Division of Dermatology, Department of Surgery, Hospital of Biella, Azienda Sanitaria Locale of Biella, Italy. dermabiella@libero.it
Purpose:
The repair of full-thickness defects of the eyelids poses a challenge, because the reconstruction of the tarsus-conjunctival layer often results in aesthetically and functionally unsatisfactory outcomes. The authors' aim was to create a new method to repair large tarsus-conjunctival losses and to examine the outcomes of its use.
Methods:
Seven patients with invasive carcinoma of the eyelids underwent a venous wall graft.
Results:
All patients had good to outstanding results and no complications.
Conclusion:
This new reconstruction of the deeper layer of the eyelid provides a useful alternative to traditional methods (composite grafts and full-thickness flaps). Our new surgical technique is easy to execute and has good functional and aesthetic results.
