Ms. Wei, a 50-year-old, had an accident five years ago, which caused second-and third-degree burns on 60% of her body surface. After several debridement and skin grafting operations at Chang Gung Burn Center in Linkou, she was lucky to survive. However, the scar after wound healing has an impact on Ms. Wei's face, trunk and limbs, especially her face. Scar contracture after burn leads to bilateral lower eyelid atrophy and lower eyelid exposure, which not only causes symptoms such as dry eyes, reflective tears, but also makes others feel that she is always sad. After undergoing plastic surgery of the outer corner of the eye and skin grafting of the lower eyelid, she finally put down her sad eyes.
Facial skin transplantation makes the skin color around the eyes more complete.
Dr Chang Gung Plastic Surgeon, who accepted Ms Wei, released the scar contracture of her lower eyelid, and then performed external canthus plastic surgery to fix the external canthus in the correct position to prevent the lower eyelid from everting and shrinking again, while the missing skin of the lower eyelid was transplanted from the skin on the clavicle.
Dr Chen Hongzhang added that facial skin is usually used for transplantation, which will be closer to the skin color around the eyes. However, due to Ms. Wei's facial scar, there is no complete skin, and the skin on the clavicle is used for transplantation.
Lower eyelid ectropion and adduction are the most common cases.
Dr Chen Hongzhang pointed out that the main physiological function of eyelid is to protect eyeball, and the closure of eyelid can avoid the invasion of dust and microorganisms. ㄧ-like ectropion and adduction of lower eyelid often occur in complications after lower eyelid surgery, trauma such as burns, facial skin and eyelid laceration, or scar contracture and skin tissue defect after peripheral eyelid tumor resection. The common reconstruction method is to release scar contracture, remove all scars that cause ectropion or adduction of the lower eyelid, and then restore the lower eyelid to its normal position according to the degree of ectropion and adduction, combined with extraocular canthus traction, skin grafting, flap surgery, eyelid spacer placement, orbicularis oculi muscle fat traction and midface lifting.
Seek professional medical assistance without putting up with sad expressions.
Dr. Chen Hongzhang found that many patients with ectropion and adduction of lower eyelids did not know that they could seek medical assistance, thinking that they could only endure eye discomfort and continue to live with a sad look; Therefore, it is suggested that if patients have suspected ectropion and adduction of eyelids, it is best to seek the evaluation of professional plastic surgeons and provide the most suitable surgical treatment according to the different conditions of each patient to welcome new students.
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