Full-Thickness Lower Eyelid Reconstruction With a Conchal Chondro-Perichondral Graft and Local Coverage With Mio-Cutaneous Flaps—Our Divisional Experience

Parodi, Pier Camillo; Faini, Gianpaolo; Biasio, Fabrizio De; Cordaro, Emanuele Rampino; Guarneri, Gianni Franco; Miani, Flavia

doi:10.1016/j.joms.2007.08.053

Cited by 19 publications

(21 citation statements)

References 10 publications

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“…Our previous study confirmed these advantages with this reconstruction technique, which reported good surgical functional and esthetic outcomes without major complication [12]. In our current study, there appeared to be a complete “restitutio ad integrum” of the conjunctiva after a short postoperative period in all our patients, which was shown by the cytology analysis.…”

Section: Discussionsupporting

confidence: 84%

Lower Lid Reconstruction Utilizing Auricular Conchal Chondral-Perichondral Tissue in Patients with Neoplastic Lesions

Parodi

Calligaris

Biasio

et al. 2013

BioMed Research International

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Purpose. To assess surgical outcomes of lower lid reconstruction surgery using auricular conchal tissue. Methods. This prospective study included 20 patients that underwent reconstructive lower lid surgery using autologous auricle chondral-perichondral graft tissue. Auricle tissue was used to provide adequate support and protection with similar conjunctiva tarsal structures on overlying soft tissues in patients with pathologic inferior lid tissue loss requiring reconstructive surgery. Biopsies with histopathology and cytology analysis were taken after 1 year. Cytology analysis using CK19 was used to confirm newly formed conjunctiva overlying the graft. Results. All patients showed no graft rejection. Surgical outcomes were generally good, with minimal or no ocular complications. 16 of 20 patients had excellent results, showing good lid symmetry and esthetics, minimal auricular discomfort, patient satisfaction and proper lid function. Surgical outcomes were highly dependent on proper post-op conjunctiva formation. All patients were positive for CK19, thus indicating proper conjunctiva tissue formation. Conclusions. Lower lid reconstruction surgery using auricular chondral-perichondral conchal tissue is a good alternative in patients with neoplastic lesions. Autologous chondral-perichondral tissue provides good functional and mechanical support in the reconstructed lid, thus reducing the risks of ectropion and corneal exposure and ensuring a protected ocular surface.

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Section: Discussionsupporting

confidence: 84%

Lower Lid Reconstruction Utilizing Auricular Conchal Chondral-Perichondral Tissue in Patients with Neoplastic Lesions

Parodi

Calligaris

Biasio

et al. 2013

BioMed Research International

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“…3,6 Composite full-thickness resections of eyelid will require reconstruction of all three layers, namely, anterior lamella (skin and subcutaneous tissue), muscle layer (orbicularis oculi) and posterior lamella (tarsal plate and conjunctiva). 12,13 The lower tarsus is a dense conjunctive structure which gives rigidity and stability to the eyelid, and containing the meibomian glands, which secrete a sebaceous material needed for lubricating the cornea. [12][13][14] Tumors invading the tarsal plate cause full thickness defects of the eyelid.…”

Section: Discussionmentioning

confidence: 99%

Kissing sebaceous carcinoma of the eyelids: a rare case report

et al. 2018

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Sebaceous gland carcinomas are tumours of the skin adnexa which occur around the periocular region of elderly females. It is a rare malignancy usually involving the upper eyelid and has an indolent course. Treatment is surgical excision of the lesion with lid reconstruction. Here authors discuss a case of swellings involving both the eyelids of an elderly female diagnosed as sebaceous gland carcinoma on biopsy for which wide local excision and primary eyelid repair was done. This case has been presented as the lesion masquerades as a benign one but is malignant with multifocal spread.

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“…18,19 The expanded forehead f lap provides excellent vascular coverage for these structures and can easily extend the distance between the lateral and medial canthi. This is particularly important in burn patients with severe scarring of the eyelids that often involves the 3 lamellae.…”

Section: Discussionmentioning

confidence: 99%