Angular artery island flap for eyelid defect reconstruction

Keçeci, Yavuz; Bali, Zülfükar Ulaş; Ahmedov, Anvar; Yoleri, Levent

doi:10.1080/2000656x.2019.1647851

Cited by 7 publications

(9 citation statements)

References 22 publications

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Section: Nasal Chondromucosal Graftmentioning

confidence: 99%

“…The nasal chondromucosal graft has been reported to reconstruct the posterior lamella of eyelids due to mucosal covering, good eyelid stability, and esthetic outcome in the late postoperative period (42,(51)(52)(53)(54)(55). Keçeci et al (51) used a septal chondromucosal graft with a nasojugal angular artery-based axial flap to repair full-thickness eyelid defects in eight patients. That was shown a safe and straightforward procedure for both upper and lower eyelid full-thickness defect reconstruction, with inconspicuous scar concealed in the nasojugal area and without septal perforation or hemorrhage complications in the nose.…”

Section: Nasal Chondromucosal Graftmentioning

confidence: 99%

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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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Section: Nasal Chondromucosal Graftmentioning

confidence: 99%

Section: Nasal Chondromucosal 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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“…Nasal mucosal grafts harvested from the nasal septum, 68,69 turbinate, 67 or ala 55 bear a close histological resemblance to the tarsoconjunctiva. Furthermore, the nasal mucosa contains not only a large number of goblet cells but also subepithelial mucin glands; therefore, it is able to provide substitute mucin 67 .…”

Section: Autologous Tissue Graftsmentioning

confidence: 99%

Biomaterials and tissue engineering strategies for posterior lamellar eyelid reconstruction: Replacement or regeneration?

Yan

et al. 2023

Bioengineering & Transla Med

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Reconstruction of posterior lamellar eyelids remains challenging due to their delicate structure, highly specialized function, and cosmetic concerns. Current clinically available techniques for posterior lamellar reconstruction mainly focus on reconstructing the contour of the eyelids. However, the posterior lamella not only provides structural support for the eyelid but also offers a smooth mucosal surface to facilitate globe movement and secrete lipids to maintain ocular surface homeostasis. Bioengineered posterior lamellar substitutes developed via acellular or cellular approaches have shown promise as alternatives to current therapies and encouraging outcomes in animal studies and clinical conditions. Here, we provide a brief reference on the current application of autografts, biomaterials, and tissue‐engineered substitutes for posterior lamellar eyelid reconstruction. We also shed light on future challenges and directions for eyelid regeneration strategies and offer perspectives on transitioning replacement strategies to regeneration strategies for eyelid reconstruction in the future.

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“…The nasal chondromucosal grafts harvested from the nasal septum [ 32 , 60 – 62 ] or ala [ 63 , 64 ] can offer both support and lining for replacing the tarsus and conjunctiva. The septal mucochondral graft tends to curl toward the mucosa-covered side after thinning of the cartilage, which matches the shape of the tarsus and can provide good eyelid stability and aesthetic outcomes [ 65 , 66 ].…”

Section: Posterior Lamellar Defects and Full-thickness Defectsmentioning

confidence: 99%

Surgical Strategies for Eyelid Defect Reconstruction: A Review on Principles and Techniques

Yan

et al. 2022

Ophthalmol Ther

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Reconstruction of eyelid defects, especially the posterior lamella, remains challenging because of its anatomical complexity, functional considerations, and aesthetic concerns. The goals of eyelid reconstruction include restoring eyelid structure and function and achieving an aesthetically acceptable appearance. An in-depth understanding of the complex eyelid anatomy and several reconstructive principles are mandatory to achieve these goals. Currently, there are multiple surgical treatment options for eyelid reconstruction, including different flaps, grafts, and combinations of them. This comprehensive review outlines the principles of reconstruction and discusses the indications, advantages, and disadvantages of currently available surgical techniques. We also propose our clinical thinking for solving specific clinical questions in eyelid reconstruction and offer perspectives on new potential methodologies in the future.

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Angular artery island flap for eyelid defect reconstruction

Cited by 7 publications

References 22 publications

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

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

Biomaterials and tissue engineering strategies for posterior lamellar eyelid reconstruction: Replacement or regeneration?

Surgical Strategies for Eyelid Defect Reconstruction: A Review on Principles and Techniques

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