Citation

Thai KN, Billmire DA, Yakuboff KP. Plast. Reconstr. Surg. 1999; 104(4): 1048-1051.

Copyright

(Copyright © 1999, Lippincott Williams and Wilkins)

DOI

10.1097/00006534-199909040-00022

PMID

10654746

Abstract

A case of severe facial and corneal burns with complete loss of upper and lower eyelids is reported together with the acute management and surgical options for total eyelid defects secondary to thermal injury. An acutely burned man with 78 percent total burn surface area presented with complete exposure of the left cornea. Because of the severe thermal injury, no facial tissues were available as donor sources for reconstructing the eyelid. A free dorsalis pedis flap was used to cover the exposed cornea after bilateral conjunctival advancement flaps, with septal cartilage graft for structural support. A conjunctivodacryocystorhinostomy was performed at the time of the coverage. The patient was unable to perform an exact visual acuity test; however, his gross vision was intact.

Language: en

Keywords

*Suicide, Attempted; *Surgical Flaps; Adult; Depressive Disorder, Major/complications; Eye Burns/etiology/*surgery; Eyelids/*injuries/*surgery; Facial Injuries/surgery; Foot; Humans; Male; Plastic Surgery Procedures/*methods