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https://hdl.handle.net/2440/22912
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dc.contributor.author | Leibovitch, I. | - |
dc.contributor.author | Malhotra, R. | - |
dc.contributor.author | Selva-Nayagam, D. | - |
dc.date.issued | 2006 | - |
dc.identifier.citation | Ophthalmology, 2006; 113(3):489-496 | - |
dc.identifier.issn | 0161-6420 | - |
dc.identifier.issn | 1549-4713 | - |
dc.identifier.uri | http://hdl.handle.net/2440/22912 | - |
dc.description.abstract | <h4>Objectives</h4>To present the surgical outcomes and postoperative complications in a series of patients who underwent upper lid surgery using autogenous hard palate grafts (HPGs) or free tarsal grafts (FTGs) as posterior lamella replacement material.<h4>Design</h4>Retrospective, comparative, interventional case series.<h4>Patients</h4>Thirty-one consecutive patients who were operated in 2 oculoplastics centers between July 2000 and January 2005.<h4>Methods</h4>All patients' clinical records were reviewed.<h4>Main outcome measures</h4>Postoperative upper eyelid contour and viability, ocular discomfort, keratopathy, and corneal edema, as well as assessment for donor site complications and final graft dimensions.<h4>Results</h4>There were 31 patients who underwent upper lid surgery (15 HPGs, 16 FTGs). The complications in the HPG group included corneal edema or transient keratopathy (13.3%), partial graft dehiscence (13.3%), upper lid retraction (13.3%), and necrosis of the overlying skin flap (6.7%). There were no significant postoperative complications in the FTG group during a mean follow-up period of 13.5+/-5 months. Donor site complications included 2 cases of mild upper lid retraction and central peaking. There were an average of 17% decrease in FTG vertical height and a 24% decrease in HPG vertical height during the follow-up period.<h4>Conclusion</h4>Hard palate grafts may be associated with a higher rate of complications in upper lid surgery relative to FTGs, although most complications are temporary. Graft contraction could be reduced by oversizing. | - |
dc.language.iso | en | - |
dc.publisher | Elsevier Science Inc | - |
dc.source.uri | http://dx.doi.org/10.1016/j.ophtha.2005.11.017 | - |
dc.subject | Eyelids | - |
dc.subject | Palate, Hard | - |
dc.subject | Connective Tissue | - |
dc.subject | Surgical Flaps | - |
dc.subject | Skin | - |
dc.subject | Humans | - |
dc.subject | Corneal Diseases | - |
dc.subject | Corneal Edema | - |
dc.subject | Eyelid Diseases | - |
dc.subject | Necrosis | - |
dc.subject | Surgical Wound Dehiscence | - |
dc.subject | Blepharoplasty | - |
dc.subject | Retrospective Studies | - |
dc.subject | Adult | - |
dc.subject | Aged | - |
dc.subject | Aged, 80 and over | - |
dc.subject | Middle Aged | - |
dc.subject | Female | - |
dc.subject | Male | - |
dc.title | Hard palate and free tarsal grafts as posterior lamella substitutes in upper lid surgery | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1016/j.ophtha.2005.11.017 | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Selva-Nayagam, D. [0000-0002-2169-5417] | - |
Appears in Collections: | Aurora harvest 2 Surgery publications |
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