Abstract Listings 2024

Purpose

Dermal regeneration templates (DRT), whose use is well established in head and neck surgery, have emerged as a promising tool in periocular and orbital reconstruction. Acting as scaffolds for dermal regeneration, they offer potential advantages over traditional reconstruction techniques. In this study, we aim to evaluate the benefits and drawbacks of DRT in periocular and orbital reconstruction.

Methods

Through a review of existing literature, we explore the current applications of DRT in periocular and orbital reconstruction. Additionally, we present a case series highlighting our own experiences with patients who underwent reconstruction following extensive tumour resection, and tissue debridement due to necrotising fasciitis.

Results

Novel uses of DRT in periocular and orbital reconstruction include; traumatic periocular tissue loss, large cheek defects, eyelid retraction and socket reconstruction following exenteration. Our case series includes four patients. Three underwent reconstruction using DRT following extensive resections for basal cell carcinoma. One patient had severe tissue loss following debridement of the periocular area to control necrotising fasciitis and had reconstruction of his eyelids with DRT. We present the outcomes of these cases, shedding light on early and late management challenges and potential complications.

Conclusion

Dermal regeneration templates offer an alternative to traditional reconstruction techniques, potentially reducing the need for skin grafting or pedicled flaps. Advantages include; reduced donor site morbidity, the ability to operate on patients with multiple comorbidities and reduced need for anaesthetic cover. Our experience highlights limitations such as the need for more intensive follow-up in the initial post-operative period and the potential for late-stage tissue contraction in cases involving the eyelid margin and tarsal plate. Through this discussion, we address potential pitfalls and propose techniques to enhance surgical outcomes when using DRT in periocular and orbital reconstruction.

Additional Authors

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