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Postavulsion complete loss of both lids with corneal injury and orbital floor fracture: A surgical challenge


1 Department of Plastic and Reconstructive Surgery, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
2 Department of Ophthalmology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
3 Department of Plastic Surgery, Dayanand Medical College and Hospital, Ludhiana, Punjab, India

Correspondence Address:
Sheerin Shah,
Department of Plastic and Reconstructive surgery, Dayanand Medical College and Hospital, Civil Lines, Ludhiana - 141 001, Punjab
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mjdrdypu.mjdrdypu_22_21

Total upper and lower eyelid reconstruction remains a challenging task for plastic and reconstructive surgeons. Repair of full-thickness defects >50% of the horizontal length of the lids can be particularly complex. Here, we discuss a case of a 52-year-old male who presented to the emergency with avulsion of the right upper and lower eyelids associated with corneal injury and orbital floor fracture. Among all the possible choices of locoregional flap available, we chose the paramedian forehead flap for anterior lamella reconstruction of both upper and lower lids, and the posterior lamella was reconstructed with buccal mucosal graft while orbital floor reconstruction was carried out with prosthesis. This reconstructive modality resulted in satisfactory function and esthetic outcome.


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