개에 의한 안면부 교상 환자에서의 중앙이마피판을 이용한 위·아래눈꺼풀 동시 재건술의 1예

• 영문명: Simultaneous Upper and Lower Eyelid Reconstruction for Eyelid Defects Following a Dog Bite
• 발행기관: 대한안과학회
• 저자명: 추지희 손준혁,Ji Hee Chu, MD, Jun Hyuk Son, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number4, 582~587쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.04.15

영문 초록

Purpose: While the principles of eyelid reconstruction are well established, the rapid choice of a method of upper and lower eyelid defect reconstruction is difficult. The authors present a successful case of simultaneous reconstruction of upper and lower eyelid defects with a modified paramedian forehead flap resulting from a dog bite. Case summary: The authors report a case of a 77-year-old woman with total hyphema and extensive skin defects involving the forehead, cheek, and upper and lower eyelid resulting from a dog bite. The wound on the left periorbital area was treated with microimplantation and skin grafts from the left thigh and groin. In the weeks following, sequential failure of the flap and skin graft was observed, and exposed keratitis worsened, resulting in corneal perforation. Evisceration with hydroxyapatite implantation and paramedian forehead flap was performed. After 3 weeks, division of the pedicle, transverse division of the flap, and socket reconstruction were performed. Conclusions: Reconstruction of large, full thickness defects of both upper and lower eyelids with a paramedian forehead flap is associated with a good cosmetic outcome. Paramedian forehead flap should be considered as an effective choice for simultaneous upper and lower eyelid reconstruction. J Korean Ophthalmol Soc 2012;53(4):582-587

키워드

Eyelid defect, Eyelid reconstruction, Paramedian forehead flap