A case report of reconstruction of ocular and complete upper eyelid avulsion with severe facial soft tissue injuries using anterolateral thigh free flap

Irawati, Yunia; Fitri, Marsha Alyssa Razief; Natalia, Michelle Eva Rebeca; Atmodiwirjo, Parintosa; Ramadan, Mohamad Rachadian; Triatmoko, Sara Ester

doi:10.1016/j.ijscr.2021.105856

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…Previous studies have only a few publications documenting hair transplantation on free flaps, encompassing both myocutaneous flaps and skin-grafted fascial flaps. 6,7,[15][16][17] Transplantation sites have varied, spanning not only the scalp but also regions such as the chin, eyelid, and lower extremities. Survival rates have been reported solely in the study by Blackwell and Rawnsley, 6 observing a relatively good survival rate for skin-grafted myofascial flaps.…”

Section: Discussionmentioning

confidence: 99%

Hair Transplantation on the Baldness Region with Free Latissimus Dorsi Flap for Scalp Reconstruction: A Case Report

Han,

Moh,

Park

2024

Arch Plast Surg

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Scalp reconstruction, particularly with complex defects and infection risks, often favors microvascular free flaps. However, this method can result in unavoidable alopecia and undesirable aesthetics. This report describes a novel case where hair transplantation via follicular unit extraction (FUE) was applied to a free myocutaneous flap. A 44-year-old woman with Moyamoya disease suffered intracerebral hemorrhage a decade ago. Craniotomies and autologous bone cranioplasties led to wound dehiscence, with subsequent failed local flaps and skin grafts, and identification of a methicillin-resistant Staphylococcus aureus infection. The final scalp defect, measuring 13 × 9 cm, was reconstructed using a free myocutaneous latissimus dorsi flap. Nine years post-surgery, a 1,500-unit FUE hair transplantation procedure was conducted. The transplanted hair exhibited robust survival with adequate blood supply, achieving a satisfactory 80 to 85% survival rate at 12 months. This resulted in a notable improvement in the patient's external alopecia, with reported high levels of satisfaction. Free flaps offer a valuable method for scalp defect reconstruction; however, they may not ensure optimal aesthetic satisfaction due to alopecia. Nonetheless, successful FUE hair transplantation on a myocutaneous free flap can yield satisfactory aesthetic results.

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Section: Discussionmentioning

confidence: 99%

Hair Transplantation on the Baldness Region with Free Latissimus Dorsi Flap for Scalp Reconstruction: A Case Report

Han,

Moh,

Park

2024

Arch Plast Surg

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“…The lower lip and cheek were also the candidate site of the buccal mucosal graft to replace the posterior lamella of the upper eyelid (35,36). Yamashita et al (37) recommended the cheek mucosa to reconstruct posterior lamella rather than HPM.…”

Section: Buccal Mucosal Graftmentioning

confidence: 99%

Posterior lamella substitutes in full-thickness eyelid reconstruction: a narrative review

Guo¹,

Gao²,

Ma³

et al. 2023

Front Oral Maxillofac Med

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Background and Objective: Severe full-thickness eyelid defects seriously endanger the health and beauty of the ocular surface. It is the most challenging field of oculoplastic and reconstructive surgery to reconstruct eyelid's natural appearance and function, in which the posterior eyelid lamella plays an essential role. Without enough substitute support in eyelids suffered sizeable posterior lamella defects, various complications may occur, e.g., entropion, ectropion, incomplete eyelid closure, corneal irritation, keratitis, corneal ulcers, and even vision loss, leading to failure of eyelid reconstruction. This manuscript aimed to summarize recent advances in posterior eyelid lamella substitutes and summarize the types, advantages, and disadvantages of the present posterior lamella substitutes in full-thickness eyelid reconstruction.Methods: A literature search was conducted in the PubMed database to identify relevant publications using the search algorithm "eyelid reconstruction". The full-text publication reports about posterior substitutes from January 2016 to April 2021 in English were selected and reviewed. We also screened relevant research missed in this search algorithm from the reference lists of specific full-text papers.

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“…The reconstructive approach is determined by the defect's extent, with local flaps serving well in limited defects [4][5][6] ; however, extensive, full-thickness deficiencies often necessitate more intricate procedures, such as free tissue transfer. [7][8][9][10][11][12][13] The radial forearm free flap (RFFF) is a well-established method for reconstructing considerable defects in the head and neck region, particularly when thin and pliable tissue is required. The flap's pedicle length is pivotal, with the radial forearm offering the necessary length for microvascular anastomosis.…”

Section: Introductionmentioning

confidence: 99%

Aesthetic and Functional Reconstruction of Periorbital Region Using Radial Forearm Free Flap

Chaiyasate,

Abdul-hamed,

Lohasammakul

2024

Plastic and Reconstructive Surgery - Global Open

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Background: This study describes the utilization of the radial forearm free flap (RFFF) for the restoration of severe soft tissue deficiency involving the upper and lower eyelids in three patients. Methods: This study is a retrospective review of the senior authors’ clinical records for patients who presented with periorbital defect and underwent reconstruction with RFFF between 2018 and 2022. Results: As a part of a comprehensive reconstructive surgery, we used the RFFF to deliver an ample amount of well-vascularized soft tissue. The flap’s vessels were anastomosed to the ipsilateral facial vessels in all cases. Patients showed significant functional improvement, with complete eyelid closure achieved. No immediate postoperative complications were noted. Conclusions: RFFF demonstrated optimal outcomes in upper eyelid reconstruction.

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A case report of reconstruction of ocular and complete upper eyelid avulsion with severe facial soft tissue injuries using anterolateral thigh free flap

Cited by 3 publications

References 7 publications

Hair Transplantation on the Baldness Region with Free Latissimus Dorsi Flap for Scalp Reconstruction: A Case Report

Hair Transplantation on the Baldness Region with Free Latissimus Dorsi Flap for Scalp Reconstruction: A Case Report

Posterior lamella substitutes in full-thickness eyelid reconstruction: a narrative review

Aesthetic and Functional Reconstruction of Periorbital Region Using Radial Forearm Free Flap

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