A simple method for the treatment of cicatricial ectropion and eyelid contraction in patients with periocular burn: Vertical V-Y advancement of the eyelid

Yeşïloğlu, Nebil; Şirinoğlu, Hakan; Sarıcı, Murat; Temiz, Gökhan; Güvercin, Emre

doi:10.1016/j.burns.2014.08.024

Cited by 9 publications

(6 citation statements)

References 3 publications

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“…Converse and Smith suggested release and grafting for canthal positioning, and they highlighted the use of a tarsoconjunctival flap for loss of lid margin. Others have suggested the use of local V-Y advancement flaps as a method to restore both upper and lower lid positioning 14. We felt that the extent of our patient's soft-tissue injury, however, precluded the advancement of local tissue in the initial stages.…”

Section: Discussionmentioning

confidence: 86%

“…Others have suggested the use of local V-Y advancement flaps as a method to restore both upper and lower lid positioning. 14 We felt that the extent of our patient's soft-tissue injury, however, precluded the advancement of local tissue in the initial stages. Furthermore, and important to her treatment algorithm, most of her eyelid structure was intact, but was displaced by contractile forces in tissues adjacent to the lid itself.…”

Section: Discussionmentioning

confidence: 93%

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Short Runs for a Long Slide: Principalization in Complex Facial Restoration after Acid Attack Burn Injury

Hughes

Dabek

Riesel

et al. 2019

Craniomaxillofacial Trauma & Reconstruction

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Burn injuries are responsible for a significant portion of surgically treatable morbidity throughout the world and particularly in underdeveloped and developing countries. Intentional flame, chemical, and contact burns are unfortunately a common mechanism of injury. It is estimated that intentional chemical burns are responsible for between 2 and 20% of burn injuries seen at burn centers in lower income countries. Women are commonly targeted and the perpetrators are often known to the victims. The combination of a high disease prevalence, limited surgical and anesthetic resources, a vulnerable patient population, and largely disfiguring, nonlethal injuries present unique challenges for the reconstructive surgeon who may not encounter such cases regularly. In this article, we present a case of a 16-year-old female who sustained severe, full-thickness burns to the face including eyelids, neck, abdomen, and upper extremities after an intentional acid attack. She began her treatment course with us approximately 1 year after the injury. The deformities of her oral and periorbital regions presented particularly difficult reconstructive problems, including impending visual loss. Using plastic surgical principalization, we provided our patient adequate restoration of facial form and function through numbers of interventions using fundamental and state-of-the-art techniques.

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 93%

Short Runs for a Long Slide: Principalization in Complex Facial Restoration after Acid Attack Burn Injury

Hughes

Dabek

Riesel

et al. 2019

Craniomaxillofacial Trauma & Reconstruction

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show abstract

“…The eyelid plays a key role in maintaining the integrity of the corneal surface and in lubricating and protecting the surface of the eyeball [3,4]. Lagophthalmos, which results in upper eyelid dysfunction, can cause dry eyes, which predispose the patient to infection and can even lead to loss of vision.…”

Section: Discussionmentioning

confidence: 99%

“…Lagophthalmos, which results in upper eyelid dysfunction, can cause dry eyes, which predispose the patient to infection and can even lead to loss of vision. Therefore, eyelid deformity repair is primarily aimed at complete coverage of the eyeball and preservation of levator function [1,4].…”

Section: Discussionmentioning

confidence: 99%

Early cicatricial lagophthalmos release with pentagonal wedge resection of the scar, fat redistribution, and full-thickness skin grafting

Chung

Tak

Lim

et al. 2020

Arch Craniofac Surg

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The specialized structure of the upper eyelid ensures complete closure of the eye and eyeball sealing. An upper eyelid injury can cause various symptoms associated with eyeball trauma, not just scar formation or eyelid deformity. In this report, we describe a case of lagophthalmos observed after wound repair in a patient with a crushing injury caused by a grinder. Several surgical techniques are used to treat lagophthalmos or scar contracture. In most cases, a releasing procedure is performed after 6 months of initial repair. However, if the patient has severe symptoms that are not relieved by conservative care, early revision is inevitable. We describe a case of early lagophthalmos successfully resolved with pentagonal wedge resection, fat redistribution, and full-thickness skin grafting. After the revisional surgery, we observed that the patient regained the ability to completely close the injured eyelid, with restoration of function and favorable cosmetic outcomes. Pentagonal wedge resection to release a retracted structure, fat redistribution to prevent readhesion, and full-thickness skin grafting for enough amount of skin to regain upper eyelid function is useful for scar release and lagophthalmos following crushing injuries of the upper eyelid.

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“…Accidental burns affect the eyelids in 15% to 20% of cases; these can be mild or vision-threatening, so immediate evaluation and therapy are required ( Pargament et al, 2015 ). Periocular scarring of any origin can lead to ectropion formation that causes corneal exposure and its consequent ulceration and loss of vision ( Yesiloğlu et al, 2014 ).…”

Section: Cosmetic Complicationsmentioning

confidence: 99%

Periocular dermatoses

Chang

Moreno‐Coutiño

2017

International Journal of Women's Dermatology

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A simple method for the treatment of cicatricial ectropion and eyelid contraction in patients with periocular burn: Vertical V-Y advancement of the eyelid

Cited by 9 publications

References 3 publications

Short Runs for a Long Slide: Principalization in Complex Facial Restoration after Acid Attack Burn Injury

Short Runs for a Long Slide: Principalization in Complex Facial Restoration after Acid Attack Burn Injury

Early cicatricial lagophthalmos release with pentagonal wedge resection of the scar, fat redistribution, and full-thickness skin grafting

Periocular dermatoses

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