Upper Eyelid Reconstruction Using the Medpor(R) Sheet and Median Forehead Flap.
10.3341/jkos.2009.50.7.1105
- Author:
Ji Hye JANG
1
;
Sung Dong CHANG
Author Information
1. Department of Ophthalmology, College of Medicine, Keimyung University, Daegu, Korea. changsd@dsmc.or.kr
- Publication Type:Case Report
- Keywords:
Median forehead flap;
Medpor(R) sheet;
Upper eyelid reconstruction
- MeSH:
Aged;
Biopsy;
Blinking;
Carcinoma, Squamous Cell;
Conjunctiva;
Cosmetics;
Eyelids;
Female;
Forehead;
Frozen Sections;
Humans;
Muscles;
Skin;
Wound Infection
- From:Journal of the Korean Ophthalmological Society
2009;50(7):1105-1110
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report the upper eyelid reconstruction with median forehead flap and Medpor(R) sheet implant following full-thickness eyelid defect resulting from tumor resection. CASE SUMMARY: A 65-year-old woman was examined at our hospital for a recurrent mass on the right upper eyelid. A wide tumor excision with a 3 mm margin and an eyelid reconstruction procedure were performed after a frozen section biopsy revealed a malignancy. The full-thickness eyelid defect was reconstructed with a median forehead flap as a substitute for skin and muscle and a Medpor(R) sheet substituted for tarsal plate was sutured with a lower conjunctiva flap for posterior lamella. The histopathology diagnosis of the lesion showed a well-differentiated squamous cell carcinoma. The lower conjunctiva was separated at 2 weeks after surgery, and then the median forehead flap detached from the upper eyelid skin at 8 weeks after surgery. One year postoperatively, there was no evidence of a wound infection and an exposure of the Medpor(R) sheet. The eyelid had a good cosmetic contour and the movement of the eyelid during blinking was natural. CONCLUSIONS: The use of a Medpor(R) sheet as a substitute for a tarsal plate in reconstructive procedures of the upper eyelid defect shows cosmetic and functional success.
