Correction of periorbital contractures with different methods
Author: Canberk Gurbuz
Base Hospital / Institution: Kocaeli University / Türkiye
ePoster presentation
Abstract ID: 24-104
Purpose
Scar formation around the eyes can cause aesthetic concerns and if not treated properly, it can lead to lagophthalmia with eyelid retraction, axis asymmetry and incorrect positioning. As a result, dryness and irritation of the cornea can lead to keratitis, corneal opacity and visual impairment.. Some of the most popular techniques for surgical treatment of periorbital scar contractures include full-thickness skin graft, Z-plasty, V-Y-plasty and its analogues, and partial-thickness skin graft (STSG) in cases where the risk of late-stage contracture is high. However, there is no gold standard technique. In this study, we applied three different techniques as subcutaneous Z-plasty, Z-plasty and K-M-plasty to periorbital contracture patients and evaluated the results.
Methods
Patients with periorbital contractures were screened between 2018 and 2022. The techniques used for contracture release in these patients were noted. Patients’ ages, techniques, contracture sites, etiologies and complications were compared.
Results
Patients with periorbital scarring aged between 18 and 77 years, six with lateral canthus involvement and one with medial canthus involvement, were successfully treated using subcutaneous Z-plasty, Z-plasty, and K-M-plasty. Six patients had post-traumatic contracture and one patient had post-oncological surgical contracture. Complications were evaluated and no complications or recurrences were observed. Eye complaints improved during patient follow-up. Contracture bands were loosened satisfactorily using the required size and number of flaps. Routine wound care was performed after surgery. Contractures did not recur, resulting in aesthetically pleasing and functionally uncompromising results.
Conclusion
Z-plasty and its analogues represent an ideal surgical method to permanently correct eyelid malposition, asymmetry, ectropion, and lagophthalmos in patients with severe periorbital scar contractures following facial trauma. In case of periorbital contracture, these relatively simple and quick surgeries can yield successful aesthetic and functional results.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Murat Şahin | Alagöz | Kocaeli University / Türkiye |
| Emrah Kağan | Yaşar | Kocaeli University / Türkiye |
| Kocaeli University / Türkiye |
