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Free graft enhancement using orbicularis muscle mobilization
T C Naugle1, M R Levine, G S Carroll
1Department of Ophthalmology, Tulane University School of Medicine, New Orleans.
Ophthalmology
|March 1, 1995
Summary
Mobilizing the orbicularis oculi muscle improves free skin graft success in the periocular region. This technique enhances blood supply, aiding healing in complex eyelid reconstructions.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Reconstructive Surgery
Background:
- Free skin grafts in the periocular region present challenges to viability and function.
- Enhancing blood supply is crucial for successful graft healing in complex cases.
Observation:
- Seven patients underwent orbicularis oculi muscle mobilization prior to free skin grafting.
- Procedures included reconstructions for basal cell carcinoma, sebaceous cell carcinoma, and wound dehiscence.
Findings:
- All seven free skin grafts demonstrated viability post-mobilization.
- The technique facilitated healing in challenging reconstructive scenarios, including complex eyelid repairs.
Implications:
- Orbicularis oculi muscle mobilization is a valuable adjunct in diverse eyelid and periorbital surgeries.
- This method enhances vascularity, improving outcomes for free skin grafts in difficult cases.