Role of Lower Eyelid Reconstruction in Complete Functional Rehabilitation
https://doi.org/10.35401/2541-9897-2024-9-4-101-105
Abstract
Objective: To present a case of reconstruction of a full-thickness lower eyelid defect.
Case report: Male patient Y. aged 71 years was admitted to the Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1 (Krasnodar, Russian Federation) with the diagnosis: cancer of skin of the lateral canthus of the left eye, T1N0M0, stage I, clinical group II. According to the medical history, the neoplasm was self-detected 5 years ago. Histology findings revealed micronodular basal cell carcinoma.
After a general clinical examination, the patient underwent surgery to remove the neoplasm of the lower eyelid skin and lateral canthus and reconstruct the defect using a lateral infraorbital fat pad flap, local tissues, and a free autologous cartilage graft. The configuration of the soft tissues of the eyelid was restored. Soft tissue edema was not observed. The functional state of the lacrimal apparatus was fully preserved. The esthetics of the soft tissue was rehabilitated.
Conclusions: Reconstruction in such esthetically significant area as the middle third of the face is associated with special requirements for graft formation and positioning. A gentle and functionally justified method for restoring the parameters of the tarsal plate, conjunctival sac, and lower eyelid skin ensures complete rehabilitation of patients and improves their quality of life.
Keywords
lower eyelid reconstruction,
basal cell carcinoma,
autologous fat graft,
quality of life improvement
Supporting agencies: We thank the management of the Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1 for the opportunity to conduct the study.
About the Authors
G. A. Zabunyan
Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1
Russian Federation
Russian Federation
Grant A. Zabunyan - Oncologist, Head of the Division of Head and Neck Tumors, Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1.
Krasnodar
A. A. Martirosyan
Kuban State Medical University
Russian Federation
Russian Federation
Alexander A. Martirosyan - 6th Year Student, Faculty of Medicine, Kuban State Medical University.
Krasnodar
A. G. Baryshev
Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1; Kuban State Medical University
Russian Federation
Russian Federation
Aleksandr G. Baryshev - Dr. Sci. (Med.), Associate Professor, Head of the Surgery Department No. 1, Faculty of Continuing Professional Development and Retraining, Kuban State Medical University; Deputy Chief Physician for Surgical Care, Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1.
ulitsa 1 Maya 167, Krasnodar, 350086
V. A. Porhanov
Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1; Kuban State Medical University
Russian Federation
Russian Federation
Vladimir A. Porhanov - Academician of the Russian Academy of Sciences, Professor, Dr. Sci. (Med.), Chief Physician, Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1; Head of the Oncology Department with the Thoracic Surgery Course, Faculty of Continuing Professional Development and Retraining, Kuban State Medical University.
Krasnodar
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Review
For citations:
Zabunyan G.A., Martirosyan A.A., Baryshev A.G., Porhanov V.A. Role of Lower Eyelid Reconstruction in Complete Functional Rehabilitation. Innovative Medicine of Kuban. 2024;(4):101-105. (In Russ.) https://doi.org/10.35401/2541-9897-2024-9-4-101-105
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