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Avoiding ectropion by using the Mitek Anchor System for flap fixation to the facial bones
M Okazaki1, U Haramoto, T Akizuki
1Division of Plastic Surgery, Jichi Medical School, Tochigi, Japan.
Annals of Plastic Surgery
|March 12, 1998
Summary
The Mitek Anchor System offers a reliable method for bony flap fixation in cheek reconstruction, reducing lower eyelid traction and preventing complications like necrosis and ectropion.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Background:
- Cheek reconstruction often involves complex flaps requiring secure fixation.
- Downward traction on the lower eyelid can be a complication of cheek flaps, leading to ectropion.
Observation:
- The Mitek Anchor System was utilized for bony fixation of cervicofacial rotation-advancement flaps in the cheek area.
- Mini Anchors were applied to the malar bone to secure the flap, aiming to reduce tension on the lower eyelid.
Findings:
- Fixation with the Mitek Anchor System diminished downward traction on the lower eyelid.
- This technique reduced tension in the distal flap, successfully avoiding distal-edge necrosis and ectropion.
- In a case of post-surgical ectropion, flap fixation to the malar bone using the system corrected the condition.
Implications:
- The Mitek Anchor System provides a simple, fast, and reliable method for flap fixation to bone.
- Minimal dissection and precise placement are key advantages of this system in reconstructive surgery.
- This technique enhances outcomes in cheek reconstruction by improving flap stability and preventing eyelid complications.
