눈꺼풀판 대용물로 다공성 폴리에틸렌판을 이용한 중앙이마피판 눈꺼풀 재건술

• 영문명: Upper Eyelid Reconstruction Using the Medpor; Sheet and Median Forehead Flap
• 발행기관: 대한안과학회
• 저자명: 장지혜 장성동,Ji Hye Jang, MD, Sung Dong Chang, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume50,number7, 1105~1110쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2009.07.15

영문 초록

Purpose: To report the upper eyelid reconstruction with median forehead flap and Medpor^{® sheet implant following fullthickness eyelid defect resulting from tumor resection. Case Summary: A 65-year-old woman was examined at our hospital for a recurrent mass on the right upper eyelid. A wide tumor excision with a 3 mm margin and an eyelid reconstruction procedure were performed after a frozen section biopsy revealed a malignancy. The full-thickness eyelid defect was reconstructed with a median forehead flap as a substitute for skin and muscle and a Medpor® sheet substituted for tarsal plate was sutured with a lower conjunctiva flap for posterior lamella. The histopathology diagnosis of the lesion showed a well-differentiated squamous cell carcinoma. The lower conjunctiva was separated at 2 weeks after surgery, and then the median forehead flap detached from the upper eyelid skin at 8 weeks after surgery. One year postoperatively, there was no evidence of a wound infection and an exposure of the Medpor® sheet. The eyelid had a good cosmetic contour and the movement of the eyelid during blinking was natural. Conclusions: The use of a Medpor® sheet as a substitute for a tarsal plate in reconstructive procedures of the upper eyelid defect shows cosmetic and functional success.}

키워드

Median forehead flap, Medpor sheet, Upper eyelid reconstruction