Allotransplantation in mechanical eyelid injuries

For the purpose of stabilizing the supportive connective tissue of the eyelid in mechanical non-gunshot injuries, the authors developed a technique of primary combination plastic surgery performed simultaneously with primary surgical treatment. The technique consists in the transfer of allogenic tissues (dura mater, amnion and others) performed already during the primary surgical treatment with the aid of one of the techniques used in one-stage autotransplantation (local shifting, free transfer, one-pedicle flap). Primary combination blepharoplasty (mostly performed by local shifting) was carried out in 120 patients with mechanical eyelid injury. Healing by first intention was seen in 97% of patients, and in 84% of persons of the control group. Good aesthetic and functional results were noted in the basic group of the patients in 96% when discharged, later on, in 97%; good results were also achieved in the control group--76.4% of discharged patients, and after a time interval in 23.7%. Primary combination plastic surgery of the eyelid has a wide range of indications in cases of non-gunshot injuries, in adults and children alike.