ISSN: 1300-0365
Dil: Türkçe
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ORIGINAL RESEARCH ARTICLES |
Periorbital Defects And Reconstruction (retrospective Study)
Dr.Gülden AVCI,a Dr.Eser AYDOĞDU,a Dr.Serkan YILDIRIM,a Dr.Tayfun AKÖZa
aPlastik ve Rekonstrüktif Cerrahi Kliniği, Dr. Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi, İSTANBUL
Objective: Between January 1999 and April 2003 the reasons and results of the periorbital reconstruction that was performed in our clinic were investigated retrospectively and advantages and disadvantages of the existing reconstruction alternatives were put forward and subjects that was necessary to be paid attention during reconstruction were determined.Material and Methods: The reconstruction of the periorbital region was performed to 84 patients in fifty- three months. Sixty-two of 84 patients had skin cancer and 18 had periorbital deformity due to the burn and trauma. Reconstruction alternatives were determined according to the defects characteristics. Eighteen patients were reconstructed with full thickness skin grafts whereas 19 had composite grafts and 47 had local flaps. The localization of defects, recurrence rates of tumors, complications and functional and cosmetic results of the reconstruction were evaluated.Results: Re-grafting was required for 7 patients whose defects were reconstructed with skin graft and for 2 patients whose defects were reconstructed with composite graft. One of patients, whom underwent lower lid reconstruction with local flaps, was later reconstructed with composite graft due to the insufficiency of lower lid. Four patients had recurrence of skin cancer. Recurrence of skin cancer was seen in 4 patients.Conclusion: Periorbital reconstruction is one of the subjects that plastic surgeons frequently encounter difficulties, due to the aesthetic and functional important units included in this region and, the various types of tissues present as they are hardly imitated. For reconstruction of this region, reconstruction alternatives must be known very well by the surgeon and etiologies and localizations of defects, requirements for reconstruction and probable postreconstructional problems must be taken into consideration to achieve optimal results from functional and aesthetic aspects.Keywords: Periorbital region, skin cancer, trauma, burn, graft, local flapsTurkiye Klinikleri J Ophthalmol 2004, 13:138-144
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