Application of Kuhnt–Szymanowski Procedure to Lower Eyelid Margin Defect after Tumor Resection
Description
<jats:sec> <jats:title>Background:</jats:title> <jats:p>Lower eyelid reconstruction after tumor removal is always challenging, and full-thickness defects beyond half of the eyelid length require a flap from a part other than the remaining lower eyelid, such as the temporal area or the cheek.</jats:p> </jats:sec> <jats:sec> <jats:title>Objective:</jats:title> <jats:p>We aimed to report our experience of applying Smith-modified Kuhnt–Szymanowski, one of the most popular procedures for paralytic ectropion, for reconstructing oblong full-thickness lower eyelid margin defect.</jats:p> </jats:sec> <jats:sec> <jats:title>Materials and Methods:</jats:title> <jats:p>We performed Smith-modified Kuhnt–Szymanowski on 5 cases of oblong full-thickness lower eyelid margin defect after skin cancer removal. The mean age of patients was 80.0 years. The horizontal widths of the defects ranged from half to two-thirds of the lower eyelid length and the vertical width ranged from 5 to 9 mm.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>We obtained good functional and esthetic results in all cases. No patients developed ectropion or lower eyelid distortion, and all patients were satisfied with their results.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions:</jats:title> <jats:p>We utilized the procedure for morphological revision as a reconstructive procedure for eyelid margin defect by considering the defect as a morphological deformity of the eyelid margin; thus, donor tissue was not required to fill the defect and we could accomplish the reconstruction simply, firmly, and less invasively.</jats:p> </jats:sec>
Journal
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- Plastic and Reconstructive Surgery - Global Open
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Plastic and Reconstructive Surgery - Global Open 5 (2), e1230-, 2017-02
Ovid Technologies (Wolters Kluwer Health)
