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[Eyelid reconstruction with tarsomarginal transplant]
1Augenklinik, RWTH Aachen.
Summary
Tarsomarginal grafts offer efficient eyelid reconstruction for basal cell carcinoma and other conditions. While effective, the double tarsomarginal graft technique utilizes valuable upper eyelid tarsus for lower eyelid repair.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Dermatology
Context:
- Eyelid reconstruction is crucial for patients with basal cell carcinoma (BCC) and other conditions like chemical burns.
- Over 3 years, 85 BCCs and 54 other eyelid defects were treated, highlighting the prevalence of these conditions.
Purpose:
- To evaluate the efficacy of tarsomarginal grafts in eyelid reconstruction.
- To compare different tarsomarginal graft techniques for various eyelid defects.
Summary:
- Tarsomarginal grafts were employed in 16 cases of significant tarsus loss due to BCC.
- Techniques included Hughes-plasty and tarsomarginal grafts, with a novel "double tarsomarginal graft" for extensive lower eyelid defects.
- Grafts were sourced from the upper or lower eyelid, with pedicle skin flaps and free skin transplants used for coverage.
Impact:
- Tarsomarginal grafting allows for shorter operative times and quicker patient recovery.
- The "double tarsomarginal graft" effectively reconstructs larger defects but uses upper eyelid tarsus for lower eyelid repair.