Garza-de LH, Orozco-Grados JJ, Rodríguez-Rodríguez CE, Chávez-Serna E

Language: Spanish
References: 11
Page: 167-171
PDF size: 312.47 Kb.

ABSTRACT

The eyelids represent a complex element whose function is to act as a physical and immunological barrier. Their complexity lies in the blinking and the range of motion they carry out while respecting the integrity of the cornea. The objective of this work is to provide a surgical alternative with minimal morbidity for the reconstruction of the upper eyelid, as well as to present the tools available for the treatment of this complex area of ??the facial anatomy. We present the case of a 62-year-old woman, with 50% necrosis of the upper eyelid surface and evidence of infection. Management was started with surgical debridement, systemic antibiotic therapy, and placement of a negative pressure system. Once the infectious process had been resolved and in accordance with the principles of reconstruction by aesthetic subunits, 100% of the affected subunit was reconstructed with a full thickness skin graft of the contralateral eyelid obtained by blepharoplasty, with good aesthetic and functional results. The repair of the eyelids must be carried out by a plastic surgeon using compatible tissues, regarding composition, size, color and flexibility of the injured structures, in order to be able to regain not only the appearance, but the maximum percentage possible of the function.

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