J Korean Ophthalmol Soc.  2008 Dec;49(12):1996-2000.

Composite Graft for Eyelid Reconstruction

• Baik JH
• Kim YD

Abstract

PURPOSE: The purpose of this article is to describe successful reconstruction of upper eyelid defect using a composite graft from the contralateral eyelid.
CASE SUMMARY
A 42-year-old-female patient presented with pigmented mass of the left upper tarsoconjunctiva. She underwent tumor resection and eyelid reconstruction with periosteal flap due to recurred malignant melanoma on her left lower conjunctiva 3 years ago. The left upper eyelid was reconstructed using a composite graft from the contralateral upper eyelid.
CONCLUSIONS
A satisfactory result, both functionally and cosmetically, was obtained during the follow-up period of 10 months. Composite graft isan ideal option for the reconstruction of eyelid defect which is difficult to correct successfully with other conventional methods. A case of eyelid reconstruction using a composite graft from the contralateral eyelid is herein reported with good functional and cosmetic results.

Keyword

Composite graft; Eyelid reconstruction

MeSH Terms

Conjunctiva
Cosmetics
Eyelids
Follow-Up Studies
Humans
Melanoma
Transplants
Cosmetics

Figure

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  Figure 1. (A) Preoperative photograph. The tarsoconjunctiva of the left upper eyelid is involved by black-pigmented mass. (B) Full-thickness upper eyelid defect is created after the resection of the tumor. (C) Full-thickness pentagonal resection of the opposite upper eyelid. (D) The donor eyelid defect is closed primarily in the standard fashion. (E) Skin and orbicularis oculi muscle are undermined and removal from the pretarsal fascia 2 mm above the cilia of composite graft. (F) Composite graft composed of the eyelid margin, tarsus, and conjunctiva. (G) The composite graft is then placed and sutured into the coloboma site. (H) Graft is covered with a myocutaneous flap to replace the previously removed anterior lamella. (I) Postoperative photograph six months after the composite graft.

Reference

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