Alt Göz Kapağı Defektinin Alt Lateral Nazal Kıkırdak ve Mukoperikondrium Kompozit Greft İle Rekonstrüksiyonu: Yeni Bir Teknik

Bu yazıda, 83 yaşında bir kadın hastada alt göz kapağı defektinin rekonstrüksiyonu için yeni bir kompozit greft ve yeni bir teknik anlatılmaktadır. Sunulan olguda alt nazal alar kıkırdak, paramedian alın flebi ile kombine greft olarak kullanılmıştır.

Anahtar Kelimeler:

Alar Nasal Kıkırdak, Alın, Rekonstrüktif Cerrahi Girişimler, Göz Kapağı, Greft

The Reconstruction of The Lower Eyelid Defect with Lower Lateral Nasal Cartilage and Mucoperichondrium Composite Graft: A New Technique

In this paper, we describe a new composite graft and a new technique for reconstruction of a lower eyelid defect in an 83-year old female patient. Lower nasal alar cartilage is used as a composite graft combined with a paramedian forehead flap in the presented case.

Keywords:

Alar Nasal Cartilages, Forehead, Reconstructive Surgical Procedures, Eyelids, Graft,

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1. Renner G, Kang T. Periorbital reconstruction: brows and eyelids. Facial Plast Surg Clin North Am. 2005;13:253-65.
2. Yaqub A, Leatherbarrow B. The use of autogenous auricular cartilage in the management of upper eyelid entropion. Eye (Lond). 1997;11:801-5.
3. Holds JB. Lower eyelid reconstruction. Facial Plast Surg Clin North Am. 2016;24(2):183-91.
4. Krastinova D, Franchi G, Kelly MB, et al. Rehabilitation of the paralysed or lax lower eyelid using a graft of conchal cartilage. Br J Plast Surg. 2002;55:12-9.
5. Mai C, Bertelmann E. Oral mucosal grafts: old technique in new light. Ophthalmic Res. 2013;50:91-8.
6. Kim JH, Chun YS, Lee SH, et al. Ocular surface reconstruction with autologous nasal mucosa in cicatricial ocular surface disease. Am J Ophthalmol. 2010;149:45-53.
7. Joseph AW, Truesdale C, Baker SR. Reconstruction of the Nose. Facial Plast Surg Clin North Am. 2019;27(1):43-54.
8. Eskiizmir G, Tanyeri Toker G, Ozgur E, et al. Hemodynamic changes in paramedian forehead flap. J Craniofac Surg. 2018;29:159-62.
9. Scuderi N, Ribuffo D, Chiummariello S. Total and subtotal upper eyelid reconstruction with the nasal chondromucosal flap: a 10-year experience. Plast Reconstr Surg. 2005;115:1259-65.
10. Matsuo K, Sakaguchi Y, Kiyono M, et al. Lid margin reconstruction with an orbicularis oculi musculocutaneous advancement flap and a conchal cartilage graft. Plast Reconstr Surg. 1991;87:142-5.