COMBINED RECONSTRUCTIVE AND PLASTIC SURGERIES IN PATIENTS WITH CONSEQUENCES OF EYELID INJURIES

Abstract

The study aimed to analyze reconstructive plastic surgeries in patients with eyelid injuries.
Material and methods. The observation group included 91 patients with consequences of mechanical eyelid trauma. Among them, isolated unilateral injury to the upper eyelid was noted in 60 cases, unilateral injury to the lower eyelid – in 31 cases. The age of the patients ranged from 5 to 46 years old. Children from 5 to 12 years old made up 13% of all victims, adolescents and young men – 27%, young and mature patients – 60%. The duration of the injury ranged from six months to six years. In most situations, the cause of injury was car accidents, domestic and street incidents. Post-traumatic changes in the eyelids consisted of scar deformities and defects. In 20% of cases, the damage was extensive, occupying an area of more than half an eyelid, in 36% – half an eyelid, in 44% – at least a third of the area of an eyelid. Reconstructive surgeries included the use of allogeneic grafts in combination with skin grafting and free skin grafting.
The results of the operations demonstrated the high efficiency of the proposed methods. In the long term, restoration of the anatomical position and function of the eyelid, the shape and size of the palpebral fissure of the operated eye, and the achievement of symmetry relative to the contralateral side in the majority of observed patients were noted.