Evaluation of the postoperative course of East Asian eyelid reconstruction with free tarsoconjunctival graft transplantation: A Japanese single-centre retrospective study

Ominato, Jun; Oyama, Tokuhide; Cho, Hiroyuki; Shiozaki, Naoya; Eguchi, Koichi; Fukuchi, Takeo

doi:10.1016/j.jpra.2022.04.003

Cited by 4 publications

(7 citation statements)

References 24 publications

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“…Although the free graft donor site could be either ipsilateral or contralateral upper eyelid tarsus, some studies prefer to utilize the contralateral eyelid for preserving the ipsilateral eyelid needed. [9] We made sure that the size of the graft can be removed without risk of damaging the donor area and enough to reconstruct upper eyelid defects where the defects we found do not cross the lateral or medial canthus. [2] Tarsoconjuntival grafts are not without their limitations.…”

Section: Discussionmentioning

confidence: 98%

“…[7], [8] Recently, the tarsoconjunctival graft in eyelid reconstruction has become popular because it provides both structural support and mucosal lining, and most of the time, it only requires one-step surgery. [4], [9] Alternatives such as hard palate, auricular cartilage, and nasal septum might also provide rigidity but lack essential conjunctiva surface for contact with the cornea. [2] Moreover, autologous tissues are more resistant to resorption; thus, the tarsoconjunctival grafts might be the most suitable for reconstructing the posterior lamella because of its posterior conjunctival surface, its simple technique, and low donor site morbidity.…”

Section: Discussionmentioning

confidence: 99%

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Reconstruction of a Traumatic Large Upper Eyelid Avulsion with Tarsoconjunctival Graft and Rotational Flap: A Surgeon’s Preference

Fariz

Sutjipto

2023

VSEHJ

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Introduction: Large, full-thickness upper eyelid defects management presents a thorough and challenging approach due to the multilaminar character of the eyelid and its dynamic function. The Cutler-Beard flap method has been the mainstay management, but posterior lamellar graft usage with recent modifications may reduce complications. Case Presentation: A 43-year-old man presented to the emergency ward after a traffic accident left him with a full-thickness laceration on his left upper eyelid and an approximately 60% avulsion on the one-third medial of the eyelid. Traumatic ptosis was also found. After considering the large size of the affected area and the probability of faster wound healing, a free graft from the tarsus and conjunctival eyelid of his fellow eye was harvested to replace the posterior lamellar of the affected eye and closed the defect with a rotational skin flap from the remaining of the left upper eyelid. Conclusions: This technique could be one of the alternatives to the more common cutler-beard flap with mild complications. However, temporary visual obstruction cannot be avoided due to the traumatic ptosis complication of this patient.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Reconstruction of a Traumatic Large Upper Eyelid Avulsion with Tarsoconjunctival Graft and Rotational Flap: A Surgeon’s Preference

Fariz

Sutjipto

2023

VSEHJ

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“…ADMs, acellular dermal matrixes; DAM, decellularized amniotic membrane; PDC, porcine decellularized conjunctiva; PE, porous polyethylene; PLGA, poly(lactic-co-glycolic) acid; PPF, poly(propylene fumarate). be as high as 43% in the East Asian population 35 and 84% in the Caucasian population. 46 Ectropion and entropion are the most common complications in the lower and upper eyelids, respectively.…”

Section: Tarsoconjunctival Tarsal and Tarsomarginal Graftsmentioning

confidence: 99%

“…According to the three main features of the posterior lamella, the tarsoconjunctival graft is the golden standard for posterior lamella reconstruction and can be used to reconstruct the defects involving less than 75% of the whole eyelid width. 33 , 34 , 35 Compared with tarsoconjunctival flaps, such as the Hughes flap, 36 , 37 Cutler‐Beard flap, 38 , 39 and Mustarde lower lid switch flap, 40 , 41 free tarsoconjunctival grafts can reconstruct the defect eyelid in a single‐stage surgery, which is particularly suitable for elderly patients after malignant eyelid tumor resection. Tarsal grafts can provide posterior lamellar replacement without the conjunctival lining.…”

Section: Autologous Tissue Graftsmentioning

confidence: 99%

“…The main limitations of these autologous grafts include small graft size, eyelid retraction, scar formation, and donor eyelid morbidity, 45 which hinder their clinical application. 44 , 45 The postoperative complication rate for free tarsoconjunctival graft implantation has been reported to be as high as 43% in the East Asian population 35 and 84% in the Caucasian population. 46 Ectropion and entropion are the most common complications in the lower and upper eyelids, respectively.…”

Section: Autologous Tissue Graftsmentioning

confidence: 99%

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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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Polymers and Biomaterials for Posterior Lamella of the Eyelid and the Lacrimal System

Wu,

Fujioka,

Goodyear

et al. 2024

Polymers

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The application of biopolymers in the reconstruction of the posterior lamella of the eyelid and the lacrimal system marks a significant fusion of biomaterial science with clinical advancements. This review assimilates research spanning 2015 to 2023 to provide a detailed examination of the role of biopolymers in reconstructing the posterior lamella of the eyelid and the lacrimal system. It covers the anatomy and pathophysiology of eyelid structures, the challenges of reconstruction, and the nuances of surgical intervention. This article progresses to evaluate the current gold standards, alternative options, and the desirable properties of biopolymers used in these intricate procedures. It underscores the advancements in the field, from decellularized grafts and acellular matrices to innovative natural and synthetic polymers, and explores their applications in lacrimal gland tissue engineering, including the promise of 3D bioprinting technologies. This review highlights the importance of multidisciplinary collaboration between material scientists and clinicians in enhancing surgical outcomes and patient quality of life, emphasizing that such cooperation is pivotal for translating benchtop research into bedside applications. This collaborative effort is vital for restoring aesthetics and functionality for patients afflicted with disfiguring eyelid diseases, ultimately aiming to bridge the gap between innovative materials and their clinical translation.

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Evaluation of the postoperative course of East Asian eyelid reconstruction with free tarsoconjunctival graft transplantation: A Japanese single-centre retrospective study

Cited by 4 publications

References 24 publications

Reconstruction of a Traumatic Large Upper Eyelid Avulsion with Tarsoconjunctival Graft and Rotational Flap: A Surgeon’s Preference

Reconstruction of a Traumatic Large Upper Eyelid Avulsion with Tarsoconjunctival Graft and Rotational Flap: A Surgeon’s Preference

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

Polymers and Biomaterials for Posterior Lamella of the Eyelid and the Lacrimal System

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