Postavulsion Complete Loss of Both Lids with Corneal Injury and Orbital Floor Fracture: A Surgical Challenge

Medical Journal of Dr. D.Y. Patil Vidyapeeth

article

Shah, Sheerin¹  Rakesh, Devika¹  Goel, Sahil²  Mittal, Rajinder K.¹  Garg, Ramneesh³  Singh, Karan¹ 

[1] Department of Plastic and Reconstructive Surgery, Dayanand Medical College and Hospital;Department of Ophthalmology, Dayanand Medical College and Hospital;Department of Plastic Surgery, Dayanand Medical College and Hospital

关键词: Corneal injury;    lid avulsion;    orbital floor reconstruction;    paramedian forehead flap;   

DOI  :  10.4103/mjdrdypu.mjdrdypu_22_21

学科分类：社会科学、人文和艺术（综合）

来源: Wolters Kluwer Medknow Publications

【 摘 要 】

50% of the horizontal length of the lids can be particularly complex. Here, we discuss a case of a 52-year-old male who presented to the emergency with avulsion of the right upper and lower eyelids associated with corneal injury and orbital floor fracture. Among all the possible choices of locoregional flap available, we chose the paramedian forehead flap for anterior lamella reconstruction of both upper and lower lids, and the posterior lamella was reconstructed with buccal mucosal graft while orbital floor reconstruction was carried out with prosthesis. This reconstructive modality resulted in satisfactory function and esthetic outcome.

【 授权许可】

CC BY-NC-SA