The palatal mucosal graft: The adequate posterior lamellar reconstruction in extensive full-thickness eyelid reconstruction
Annales de Chirurgie Plastique Esthétique, ISSN: 0294-1260, Vol: 65, Issue: 1, Page: 61-69
2020
- 16Citations
- 12Captures
Metric Options: Counts1 Year3 YearSelecting the 1-year or 3-year option will change the metrics count to percentiles, illustrating how an article or review compares to other articles or reviews within the selected time period in the same journal. Selecting the 1-year option compares the metrics against other articles/reviews that were also published in the same calendar year. Selecting the 3-year option compares the metrics against other articles/reviews that were also published in the same calendar year plus the two years prior.
Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
Citation Benchmarking is provided by Scopus and SciVal and is different from the metrics context provided by PlumX Metrics.
Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
Citation Benchmarking is provided by Scopus and SciVal and is different from the metrics context provided by PlumX Metrics.
Metrics Details
- Citations16
- Citation Indexes16
- 16
- Captures12
- Readers12
- 10
Article Description
Full-thickness eyelid defects exceeding 25% of the eyelid width should benefit from a skillful, immediate and simultaneous reconstruction of two layers; anterior and posterior lamella. In this article, we recall, through an original series of cases, the possibility of using a palatal fibromucosal graft during the reconstruction of the posterior lamella as well as the modalities of its optimal use. Retrospective study, including 8 patients with an extensive full-thickness eyelid defect affecting more than half of the upper and/or lower eyelid, after tumor excisions. 4 cases were involved in lower eyelid reconstruction, 2 in upper one and 2 in both. Posterior lamella was reconstructed using a palatal mucosal graft. Anterior lamella was reconstructed using different flaps: Esser-Mustardé flap, medially and laterally based orbicularis oculi myocutaneous flap, Tripier and orbitonasolabial flaps. Mean follow-up was 12.75 months. The survival rate of grafts and flaps was excellent with only one flap border necrosis. The donor site healed in an average time of 3 weeks. Functional recovery, complete eye closure and opening, was obtained in all cases. Lining, texture and color was considered satisfactory in all cases. The palatal mucosal graft provides a good and lasting structural support to the eyelid, which is essential for the inferior eyelid, especially when combined with a flap. Slight overcorrection is recommended. Les pertes de substances palpébrales transfixiantes dépassant 25% de la largeur de la paupière doivent bénéficier d’une reconstruction immédiate et précise des deux lamelles la composant, antérieure et postérieure. Nous rappelons dans cet article, par une série originale de cas, la possibilité d’utiliser une greffe de fibromuqueuse palatine lors des reconstructions de la lamelle postérieure ainsi que les modalités de son utilisation. Cette étude rétrospective décrit 8 patients présentant une perte de substance transfixiante de paupière, touchant plus de la moitié de la paupière supérieure et/ou inférieure, après excision tumorale. 4 cas concernaient la reconstruction de la paupière inférieure, 2 la paupière supérieure et 2 les deux. La lamelle postérieure a toujours été reconstruite à l’aide d’un greffon de fibromuqueuse palatine, la lamelle antérieure par différents lambeaux : lambeau d’Esser-Mustardé, lambeaux musculocutanés palpébraux supérieurs unipédiculés, lambeaux de Tripier et orbitonaso-génien. Le suivi moyen était de 12,75 mois. Le taux de survie des greffes et des lambeaux était excellent avec un seul cas de nécrose distale de lambeau. Le site donneur a cicatrisé dans un délai moyen de 3 semaines. La récupération fonctionnelle, l’ouverture et l’occlusion palpébrale complète ont été obtenues dans tous les cas. Les résultats en termes de forme, position palpébrale, texture et couleur ont été jugés satisfaisants dans tous les cas. La greffe de fibromuqueuse palatine fournit à la paupière un soutien de bonne qualité et pérenne, essentiel pour la reconstruction de la paupière inférieure quand associée à un lambeau. Pour un résultat optimal, nous recommandons que la taille du greffon excède de 10% le défect intial.
Bibliographic Details
http://www.sciencedirect.com/science/article/pii/S0294126019300275; http://dx.doi.org/10.1016/j.anplas.2019.01.007; http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85061630165&origin=inward; http://www.ncbi.nlm.nih.gov/pubmed/30795932; https://linkinghub.elsevier.com/retrieve/pii/S0294126019300275; https://dx.doi.org/10.1016/j.anplas.2019.01.007
Elsevier BV
Provide Feedback
Have ideas for a new metric? Would you like to see something else here?Let us know