scholarly journals Reconstruction of Total Lower Eyelid Defects with the Temporoparietal Fascial Flap

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Simon R. Bababeygy ◽  
Anne R. Kao ◽  
Niels C. Kokot ◽  
Eli L. Chang

Purpose.To describe the use of the temporoparietal fascial flap (TPF) in the reconstruction of extensive lower eyelid defects in a functioning eye.Methods.We present a surgical case report of a 73-year-old female with melanoma of the left lower eyelid. The lower eyelid was resected, and a composite nasal cartilage-mucosa graft, a skin graft, and a TPF were used to reconstruct the lower eyelid.Results.This achieved reconstruction of the lower eyelid with the protection of the eye and preservation of the visual system function.Conclusion.The TPF serves as a good option for reconstruction of the lower eyelid in a viable functioning globe.

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
Z Li ◽  
G Filobbos

Abstract Periorbital necrotising fasciitis is a rare life-threatening presentation. We present a case of an 87-year-old patient with periorbital necrotising fasciitis. The patient was successfully managed by prompt diagnosis, debridement and reconstruction with a thick split thickness skin graft harvested from the scalp. To the best of our knowledge, this is the first case report in literature suggesting the use of sheet skin grafts from the scalp in reconstruction of necrotising fasciitis. The patient was discharged after 20 days and has no residual corneal or scleral show despite losing bilateral upper and lower eyelid skin. We present the case with photographs of initial presentation, debridement, and final reconstruction. Reconstruction of post-debridement necrotising fasciitis offers a challenge to the plastic surgeon. The wound bed is not ideal and commonly colonised. We suggest the use of thick split thickness skin grafts harvested from the scalp. Despite their utility in burns surgery, the use of scalp split thickness skin is not documented in literature for reconstruction of necrotising fasciitis. We believe this type of skin graft offers multiple advantages: higher rate of graft takes, less contracture and inconspicuous donor site morbidity. Time to reconstruction is particularly important in patients with eye lid skin loss and we believe this type of skin graft offers a versatile solution when graft take is essential.


2021 ◽  
pp. 102467
Author(s):  
Salissou Iro ◽  
Mohamed Raiteb ◽  
Amina Maadane ◽  
Sanaa Elmrini ◽  
Faiçal Slimani

2021 ◽  
Vol 7 ◽  
pp. 2513826X2110084
Author(s):  
Weston Thomas ◽  
Kevin Rezzadeh ◽  
Kristie Rossi ◽  
Ajul Shah

Introduction: Skin graft reconstruction is a common method of providing wound coverage. Rarely, skin grafting can be associated with the development of squamous cell carcinoma (SCC) in the graft donor site. Case Report: The patient is a 72-year old male with a 15-year history of bilateral hip wounds. He underwent a multitude of treatments previously with failed reconstructive efforts. After presenting to us, he underwent multiple debridements and eventual skin grafting. Within 4 weeks of the final skin graft, a mass developed at the skin graft donor site at the right thigh. Excisional biopsy returned a well differentiated keratinizing SCC. Discussion/Conclusion: This case demonstrates the acute presentation of SCC in a patient following a skin graft without known risk factors. The purpose of this unique case report is to highlight a very rare occurrence of SCC at a skin graft donor site.


2015 ◽  
Vol 29 (7) ◽  
pp. 890-895
Author(s):  
Naoya Yokomakura ◽  
Hiroo Nishijima ◽  
Masakazu Yanagi ◽  
Kazuhiro Wakida ◽  
Aya Harada ◽  
...  

2008 ◽  
Vol 61 (5) ◽  
pp. 578-581 ◽  
Author(s):  
C. Rubino ◽  
F. Farace ◽  
A. Puddu ◽  
V. Canu ◽  
M.A. Posadinu

2020 ◽  
Vol 5 (4) ◽  
pp. 164-167
Author(s):  
Reza Bidaki ◽  
Azadeh Rahavi ◽  
Farzaneh Dehghani ◽  
Mohamad Ebrahim Ghanei ◽  
Najmeh Zaer-Alhosseini ◽  
...  

Genetics ◽  
1995 ◽  
Vol 139 (4) ◽  
pp. 1623-1629
Author(s):  
B Gordesky-Gold ◽  
J M Warrick ◽  
A Bixler ◽  
J E Beasley ◽  
L Tompkins

Abstract Of the many genes that are expressed in the visual system of Drosophila melanogaster adults, some affect larval vision. However, with the exception of one X-linked mutation, no genes that have larval-specific effects on visual system structure or function have previously been reported. We describe the isolation and characterization of two mutant alleles that define the larval photokinesis A (lphA) gene, one allele of which is associated with a P-element insertion at cytogenetic locus 8E1-10. Larvae that express lphA mutations are, like normal animals, negatively photokinetic, but they are less responsive to white light than lphA + controls. Larvae that are heterozygous in trans for a mutant lphA allele and a deficiency that uncovers the lphA locus are blind, which indicates that the mutant allele is hypomorphic. lphA larvae respond normally to odorants and taste stimuli. Moreover, the lphA mutations do not affect adult flies' fast phototaxis or visually driven aspects of male sexual behavior, and electroretinograms recorded from the compound eyes of lphA/deficiency heterozygotes and lphA1/lphA2 females are normal. These observations suggest that the lphA gene affects a larval-specific aspect of visual system function.


2014 ◽  
Vol 23 (9) ◽  
pp. 744-749
Author(s):  
Masaki Iwasaki ◽  
Kazutaka Jin ◽  
Kazuhiro Kato ◽  
Shin-ichiro Osawa ◽  
Yoshiteru Shimoda ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document