Ergebnisse nach Cutler-Beard-Plastik zur Rekonstruktion ausgedehnter Oberliddefekte nach Tumorexzision
[Results of Cutler-Beard procedure for reconstruction of extensive full thickness upper eyelid defects following tumor resection]
Jazyk němčina Země Německo Médium print
Typ dokumentu klinické zkoušky, časopisecké články
PubMed
26487192
DOI
10.1007/s00347-015-0146-z
PII: 10.1007/s00347-015-0146-z
Knihovny.cz E-zdroje
- Klíčová slova
- Basal cell carcinoma, Blepharoplasty, Eyelid neoplasms, Ophthalmic plastic surgery, Transplantation,
- MeSH
- blefaroplastika metody MeSH
- chirurgické laloky * MeSH
- lidé středního věku MeSH
- lidé MeSH
- nádory očního víčka patologie chirurgie MeSH
- oční víčka patologie chirurgie MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- výsledek terapie MeSH
- zákroky plastické chirurgie metody MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- Publikační typ
- časopisecké články MeSH
- klinické zkoušky MeSH
BACKGROUND: The Cutler-Beard bridge flap technique is an established method for reconstruction of large full thickness upper eyelid defects. The purpose of the present study was to report experiences with the surgical technique, complications and results of this cutaneoconjunctival flap procedure following tumor resection. PATIENTS AND METHODS: A total of 18 patients with extensive full thickness upper eyelid defects after tumor excision underwent a Cutler-Beard procedure. Of the patients four received an additional eye bank scleral implant and one received an additional free tarsal graft from the fellow upper eyelid to enhance eyelid stability. RESULTS: The Cutler-Beard bridge flap technique was surgically feasible in all patients without causing damage to the lower eyelid bridge or resulting in any infections. Out of the 13 reconstructions without additional stabilizing tissue 3 (23%) developed an upper eyelid entropion that was successfully managed using a secondary scleral implant. None of the five reconstructions using additional scleral or tarsal tissue showed an entropion of the upper eyelid. CONCLUSION: The Cutler-Beard bridge flap technique, which can be combined with grafting additional stabilization tissue in defects exceeding 75% of the upper eyelid length, is a reliable method for reconstruction of large full thickness upper eyelid defects following tumor excision.
1 Medizinische Fakultät Karls Universität Prag Prag Tschechische Republik
Klinik für Augenheilkunde Universitäts Krankenhaus Ostrava Ostrava Tschechische Republik
Zentrum für Augenheilkunde Universität zu Köln Kerpener Straße 62 50924 Köln Deutschland
Zobrazit více v PubMed
Klin Monbl Augenheilkd. 1991 Feb;198(2):75-80 PubMed
J Dermatol Surg Oncol. 1992 Dec;18(12):1023-7 PubMed
Am J Ophthalmol. 1955 Jan;39(1):1-7 PubMed
J Refract Corneal Surg. 1994 Jan-Feb;10(1):38-40 PubMed
Eye (Lond). 2004 Jul;18(7):714-7 PubMed
Plast Reconstr Surg. 1966 Jul;38(1):45-8 PubMed
Can J Ophthalmol. 2011 Oct;46(5):428-30 PubMed
Ophthalmologe. 2014 Sep;111(9):853-61 PubMed
Ophthalmology. 1983 Sep;90(9):1052-5 PubMed
Klin Monbl Augenheilkd. 2009 Apr;226(4):341-3 PubMed
Br J Ophthalmol. 2003 Mar;87(3):279-81 PubMed
Ophthalmology. 1980 Oct;87(10):1022-8 PubMed
Ophthalmology. 1994 Jun;101(6):1118-21 PubMed
Ophthalmology. 1996 Aug;103(8 Suppl):S74-95 PubMed
Ann Plast Surg. 2001 Sep;47(3):338-42 PubMed
J Ophthalmol. 2014;2014:424567 PubMed
J Glaucoma. 2016 Jul;25(7):558-64 PubMed
Ophthalmologe. 2015 Feb;112(2):102-9 PubMed
