Mehmet Balcı, Rahmi Duman, Sibel Özdoğan, Ceyda Başkan, Mustafa Alpaslan Anayol, Emre Güler

Periokuler Kitle Eksizyonu Sonrası Rekonstrüksiyonda Karşılaşılan Komplikasyonlar

Bu çalışma periorbital kitle eksizyonu sonrası rekonstrüksiyon uygulanan ve komplikasyon gelişmiş olan 6ilginç hastayı içermektedir. Hasta verileri retrospektif olarak değerlendirildi. Postoperatuvar ekimoz gelişen, değişik yaşlarda üç hastatakip edildi. İlk hasta 17 yaşlarında idi ve orbita laterali-kaş hizasında dermoid kist eksizyonuuygulanmıştı. Sistemik bir hastalık mevcut değildi. Sadece takip uygulandı. Diğer iki hasta ileriyaşta idi ve bilateral ekimoz gelişmişti. Diğer bir vaka ileri yaşta fleple rekonstrüksiyon sonrasınekroz gelişen hasta idi. Vakada greft uygulanarak sorunsuz iyileşme elde edildi. Diğer iki vakaprimer sütürasyon sonrası gelişen skar ile dikkat çekten hastalardı. Skarın derecesine görecerrahi veya takip uygulandı. İyi planlanmış ve uygulanmış periokuler rekonstrüksiyonlarda dakomplikasyon görülebilmektedir. Yakın hasta takibi yapılmalı ve gereken tedavilergecikmeksizin uygulanmalıdır.

Anahtar Kelimeler:

Periokuler kitle eksizyonu, Okuloplastik komplikasyonlar, Postoteratif skar, Postoperatif ekimoz

Reconstructive Complications After Perioculer Mass Excision

This study includes 6 interesting cases who developed complications after reconstructive surgery due to periorbital mass excision. Patients' data were evaluated retrospectively. Three patients with different ages,who developed ecchymoses postoperatively, were followed up.The first patient was 17 years old and dermoid cyst excision was performed on the lateral side of orbita at the eye brow level. This patient did not have any systemic disease and was simply followed up.Other two patients were at advanced age and both of them developed ecchymoses bilaterally..Another patient was also at advanced age and developed necrosis following reconstruction with skin flap. In this case, by graft application complete healing was succeeded uneventfully.. Two other cases drew attention due to scar development after primary suturation. According to the degree of scar formation, surgery or follow up was performed.Complications could be seen even after well planned and performed periocular reconstructions.Close follow up and abrupt treatment are essential.

Keywords:

Periocular Mass Excision, Oculoplastic Complications, Postoperative Scar, Postoperative Ecchymosis.,

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Codner MA. Reconstruction of the eyelids and orbit. In: Coleman JJ 3rd, editor. Plastic Surgery Indications, Operations and Outcomes. Ch. 87. Vol. 3. St. Louis: Mosby; 2000. pp. 1425–64
Fogagnolo P, Colletti G, Valassina D, Allevi F, Rossetti L. Partial and total lower lid reconstruction: our Ophthalmologica.2012;228:239-43 with 41 cases. 3. Patel BCK, Flaharty BM. Anderson RL. Reconstruction of the eyelids. In: Baker SR, Swanson NA editörs. Local flapsof Facial Reconstruction. Ch.16.St. Louis: Mosby; 1995. pp. 275- 302
Hayano SM, Whipple KM, Korn BS, Kikkawa DO. Principles of Periocular Reconstruction following Excision of Cutaneous Malignancy. J Skin Cancer. 2012;2012:438502
Kim JH, Kim JM, Park JW, Hwang JH, Kim KS, Lee SY. Reconstruction of the medial canthus using an ipsilateral paramedian forehead flap. Arch Plast Surg. 2013;40:742-7
Saito A, Saito N, Furukawa H at al. Reconstruction of periorbital defects following malignant tumour excision: a report of 50 cases. J Plast Reconstr Aesthet Surg. 2012;65:665-70
Leibovitch I, Huilgol SC, Hsuan JD, Selva D. Incidence of host site complications in perio- cular full thickness skin grafts. Br J Ophthalmol. 2005;89:219-22
Leibovitch I, Huilgol SC, Richards S, Paver R, Selva D. The Australian Mohs database: short-term recipient-site complications in full-thickness skin grafts. Dermatol Surg. 2006;32:1364-8
Yang C, Zhang JD, Li JH at al. Immediate reconstruction of tissue defects on eyelid caused by tumor excision. Zhonghua Zheng Xing Wai Ke Za Zhi. 2009;25:108-11
deSousa JL, Leibovitch I, Malhotra R, O'Donnell B, Sullivan T, Selva D.Techniques and outcomes of total upper and lower eyelid reconstruction. Arch Ophthalmol. 2007;125:1601-9
DelRosso L, McCarty DE, Hoque R. "Why did my CPAP beat me up?" Bilateral periorbital ecchymosis associated with continuous positive airway pressure therapy. J Clin Sleep Med. 2012;8:730-2
Al-Sardar H. Recurrent bilateral periorbital and circumoral bruising due to vomiting. BMJ Case Rep. 2014; 2014
Kumar V, Ghosh B, Raina UK, Goel N. Bilateral periorbital ecchymosis in a case with dengue fever. Indian J Ophthalmol. 2009;57:242-3
Geddes C.R, Morris S.F, Neligan P.C. Perforator flaps: evolution, classification, and applications. Ann Plast Surg, 2003;50:90-9
Sund B. [Clinical Report] In: New developments in wound care. vol. 86:London: PJB Publications CBS; 2000;pp.1-255
Juckett G, keloids Physician. 2009;80:253-60 of Fam hypertrophic scars. Am
Middelkoop E, Monstrey S, Téot L, Vranckx J-J, editors. Scar management: practical guidelines. Elsene, Belgium: Maca-Cloetens; 2011.pp.1-109