J Korean Soc Plast Reconstr Surg Search

CLOSE


Journal of the Korean Society of Plastic and Reconstructive Surgeons 2006;33(4):499-502.
Published online July 1, 2006.
Correction of Lower Eyelid Retraction with Autogenous Hard Palate Mucosa : 2 Case Report.
Jino Kim, Chul Hwan Seul, Tae Suk Roh, Woon Min Yoo
Institute for Human Tissue Restoration, Department of Plastic & Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea. tsroh@yumc.yonsei.ac.kr
Abstract
PURPOSE
Grave's disease is an autoimmune disease with chronic and systemic features. It affects the orbital fat and muscle bringing about defect in extrinsic eye motility, diplopia, optic nerve defect and lid retraction. In patients with lagopthalmos and resulting facial deformity, treatment can be done by rectus muscle recession or filling with various material. Autogenous auricular cartilage graft is often used and synthetic material such as synthetic acellular dermis, polyethylene meshs are also used for filling of the depressed area. Nevertheless, autogenous auricular cartilage grafts are difficult to utilize and synthetic materials sometimes result in protrusion or infection. Therefore, hard palate mucosa was considered as an alternative. We report two cases of patients with lower eyelid retraction corrected with autogenous hard palate mucosa. METHODS: We performed this operation in two patients of Graves' ophthalmopathy. The capsulopalpebral fascia was incised and elevated through an incision on the conjunctiva. Then, the harvested hard palate mucosa was sutured to the inferior border of the tarsus and covered with the conjunctiva.
RESULTS
The lower eyelid retraction was corrected successfully. No hypertrophy or deformation of the transplanted hard palate mucosa was noted 6 months after the surgery.
CONCLUSIONS
From the results above, we may conclude that the hard palate mucosa serves as an ideal spacer for the curvature and the inner lining in lower lid retraction. Hard palate mucosa is as sturdy as the autogenous cartilage but is much easier to utilize. It can be also used for lid retraction after lower lid aesthetic surgeries or traumas.
Keywords: Lower lid retraction; Hard palate mucosa graft; Hyperthyroidism
TOOLS
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 1,229 View
  • 0 Download

Treatment of Micromastia with Pectus Excavatum: A Case Report.2008 November;35(6)

Correction of Frontal Bone Defect in Cleidocranial Dysostosis with Porous Polyethylene(Medpor(R)): A Case Report.2009 July;36(4)

Correction of Pincer Nail using Autogenous Dermofat Graft.2010 May;37(3)

Absence of Linea Alba in Breast Reconstruction with Pedicled TRAM Flap: A Case Report.2011 May;38(3)

Nontuberculous Mycobacterial Infection after Breast Reconstruction with an Implant: A Case Report.2011 July;38(4)



ABOUT
ARTICLE & SPECIALITY
Article category

Browse all articles >

Speciality

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Editorial Office
101-2003, Lotte Castle President, 109, Mapodaero, Mapo-gu, Seoul 04146, Korea
E-mail: apsedit@gmail.com                

Copyright © 2024 by Korean Society of Plastic and Reconstructive Surgeons.

Developed in M2PI

Close layer
prev next