Eyelid and periorbital area plastic surgery with a free skin flap
https://doi.org/10.17238/2072-3180-2024-2-77-82
Abstract
Introduction. Blepharoplasty occupies one of the leading positions in plastic surgery. Functional blepharoplasty is becoming especially relevant in connection with a special military operation, which significantly increased post-traumatic scarring of the eyelids after receiving mine-explosive, gunshot and burn injuries to the face. One of the surgical methods of treatment is the excision of pathological scar tissue with simultaneous repair of the defect with a free skin flap.
The aim of the work is to compare the results of blepharoplasty used to correct defects in the eyelid and periorbital region, depending on the sampling zone of the free flaps used.
Materials and methods. A prospective clinical study included 52 patients who underwent blepharoplasty with a free skin flap between 2020 and 2023.
Results and discussion. Positive functional and aesthetic results depend on the initial state of the scar-altered zone, the mechanism of traumatic injury, as well as on the zone of intake of the autodermal flap.
Conclusion. Blepharoplasty with a free flap, which gives good immediate and long-term results. According to our observations, the optimal plastic material is an autodermal flap from the retroauricular zone and the perineal zone. Despite the good results, it is necessary to continue the search for the best blepharoplasty methods to reduce the risk of complications.
About the Authors
R. А. Pakhomova
FGBOU IN Rosbiotech
Russian Federation
Russian Federation
Pakhomova Regina Alexandrovna – Doctor of Medical Sciences, Head of the Department of Plastic and Reconstructive Surgery
11 Volokolamsk Highway, Moscow
К. V. Klimenko
FGBOU IN Rosbiotech
Russian Federation
Russian Federation
Klimenko Konstantin Vladimirovich – plastic surgeon, Senior lecturer of Department of Plastic and Reconstructive Surgery
125080, Moscow, 11 Volokolamsk Highway
К. V. Artamonova
Revitalife Plastic Surgery Clinic LLC
Russian Federation
Russian Federation
Artamonova Kristina Viktorovna – plastic surgeon
31 Bolshaya Ochakovskaya str., Moscow, 119361
N. Т. Grishina
Revitalife Plastic Surgery Clinic LLC
Russian Federation
Russian Federation
Grishina Natela Tengizovna – plastic surgeon
31 Bolshaya Ochakovskaya str., Moscow, 119361
Е. V. Portnova
Revitalife Plastic Surgery Clinic LLC
Russian Federation
Russian Federation
Portnova Ekaterina Vyacheslavovna – plastic surgeon
31 Bolshaya Ochakovskaya str., Moscow, 119361
References
1. Kazantsev A.D., Kazantseva E.P., Alekseev I.B. Blepharoplasty: historical aspects, terminology and modern concepts. Clinical Ophthalmology, 2022, volume 22, № 2, pp.127–131. (In Russ.)
2. Hong Gao, Dan Wu, Xiang Jie, ZheYuan Hu, WenJun Zhang, Lie Zhu, XiaoHai Zhu. Global Research Trends and Perspectives of Blepharoplasty: A 20-Year Bibliometric Analysis Based on Web of Science. Aesthetic Plast Surg., 2023, Apr; № 47(2), рр. 654–665.
3. Park K.S., Park D.D. Objective Outcome Measurement After Upper Blepharoplasty: An Analysis of Different Operative Techniques. Aesthetic Plast Surg., 2017, Feb; № 41(1), рр. 64–72.
4. Epifanov S.A., Kraynyukov P.E., Matveikin S.V., Kraynyukova L.A. Methodological aspects of the formation of the clinical and anatomical classification of mine-explosive wounds of the face. Bulletin of the National Medical and Surgical Center named after N.I. Pirogov, 2023, vol. 18, № 1, рр. 44–50. (In Russ.)
5. Filatova I.A., Kiseleva T.N., Lugovkina K.V., Shemetov S.A., Pavlenko Yu.A. The relationship of clinical manifestations and ultrasound characteristics of posttraumatic scarring of the eyelids. Russian Ophthalmological Journal, 2022, № 15(1), pр. 72–77. https://doi.org/10.21516/2072-0076-2022-15-1-72-77 (in Russ.)
6. Rodrigues C., Carvalho F., Marques M. Upper Eyelid Blepharoplasty: Surgical Techniques and Results-Systematic Review and Meta-analysis. Aesthetic Plast Surg., 2023, Oct; № 47(5), рр. 1870–1883.
7. Lutsevich E.A. Functional and cosmetic aspects of aesthetic blepharoplasty. Materials of the VIII Congress of Ophthalmologists of Russia. Moscow, 2005, pр. 651. (In Russ.)
8. Belousov A.E. The influence of facial tissue characteristics on the likelihood of developing certain complications during lower eyelid surgery. Annals of Plastic, Reconstructive and aesthetic surgery, 2006, № 4, рр. 50–51. (In Russ.)
9. Egorova E. V., Gushchina M. B., Tereshchenko A.V., Molotkova I. A. Morphological justification for improving the effectiveness of reconstructive surgery using free skin grafting in the treatment of various deformities of the eyelids and surrounding areas. Annals of Plastic, Reconstructive and aesthetic surgery, 2005, № 2, рр. 18–24. (In Russ.)
10. Nuraeva A.B. Results of reconstructive surgery of scar deformities of the lower eyelid. Medical Bulletin of Bashkortostan, 2017, volume 12, № 2 (68), рр. 117–119. (In Russ.)
11. Banshchikov P.A., Egorov V.V., Smolyakova G.P. Improvement of methods of one-stage reconstructive and reconstructive surgery for scar defects of the eyelids. Saratov Journal of Medical Science, 2020, volume 16, № 2, рр. 578–583. (In Russ.)
12. Luzyanina V.V., Utkina E.S., Sorokin E.L. Evaluation of the clinical effectiveness of free skin flap surgery for scarring of the eyelids and periorbital region. Bulletin of the OSU, 2010, № 12, рр. 135–138.`(In Russ.)
Review
For citations:
Pakhomova R.А., Klimenko К.V., Artamonova К.V., Grishina N.Т., Portnova Е.V. Eyelid and periorbital area plastic surgery with a free skin flap. Moscow Surgical Journal. 2024;(2):77-82. (In Russ.) https://doi.org/10.17238/2072-3180-2024-2-77-82
Views:
244
Email this article 