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Delayed Periorbital Reconstruction After War Injuries.

Ghassan S Abu-Sitta1, Riad Ma'luf2, Helene Dabbous3

  • 1Department of Plastic and Reconstructive Surgery.

The Journal of Craniofacial Surgery
|April 14, 2020
PubMed
Summary

Reconstructive surgery for war-related orbital injuries in Syrian patients requires modified techniques due to delayed presentation. Novel "opportunity flaps" are used for reconstruction in scarred tissue, improving outcomes for these complex cases.

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Area of Science:

  • Ophthalmology
  • Plastic Surgery
  • Trauma Surgery

Background:

  • War injuries in Syria often result in rudimentary primary wound closure.
  • Patients transferred to Lebanon require secondary management of complex peri-ocular trauma.
  • Delayed presentation necessitates innovative reconstructive approaches for orbital injuries.

Purpose of the Study:

  • To present modified reconstructive techniques for peri-ocular trauma with delayed presentation.
  • To discuss the challenges and solutions for managing war-related orbital injuries.
  • To highlight the use of unconventional methods in reconstructive surgery.

Main Methods:

  • Demonstration of case studies involving peri-ocular trauma.
  • Adaptation of conventional reconstructive methods for delayed presentations.

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  • Utilization of "opportunity flaps" in highly fibrotic and scarred tissue for delayed reconstruction.

    • Main Results:

    • Successful secondary management of complex orbital injuries.
    • Implementation of modified techniques to achieve optimal reconstructive results.
    • Effective use of "opportunity flaps" in challenging post-traumatic tissue.

    Conclusions:

    • Modified techniques are crucial for reconstructing peri-ocular injuries with delayed presentation.
    • War-related trauma in Syria and Lebanon presents unique reconstructive challenges.
    • Delayed reconstruction using "opportunity flaps" can be a viable option for severely scarred tissue.