Successful repair of a full upper eyelid defect following traumatic amputation by simply suturing it back in place

There is a general belief that a full-thickness eyelid defect is best repaired using a vascularized flap in combination with a free graft, and that a free full-thickness eyelid graft would not survive due to poor blood perfusion. However, we describe a case in which an upper eyelid was traumatically...

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Bibliographic Details
Main Authors: Johanna Vennström Berggren, Kajsa Tenland, Jenny Hult, Jonas Blohmé, Malin Malmsjö
Format: Article
Language:English
Published: Elsevier 2019-03-01
Series:JPRAS Open
Online Access:http://www.sciencedirect.com/science/article/pii/S2352587818300470
Description
Summary:There is a general belief that a full-thickness eyelid defect is best repaired using a vascularized flap in combination with a free graft, and that a free full-thickness eyelid graft would not survive due to poor blood perfusion. However, we describe a case in which an upper eyelid was traumatically amputated. The eyelid was sutured in place and healed well in situ. The long-term outcome was good regarding motility and function. This raises the question of whether a blood-supplying pedicle is necessary for the survival of the graft when repairing large eyelid defects.
ISSN:2352-5878