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  5. FP1321 : Review of indications, surgical technique and outcomes after Eyelid Reconstruction surgeries

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DR. ANJALI SINGH

Dr.Sonal P Yadav, Dr. RAHUL DESHPANDE, Dr.(col) Madan Deshpande

Abstract

Method: Retrospective, interventional non-comparative series.Result:21 patients (M:F13:8)with median age 45 yrs were included .Upper Lid involvement in 12(57%), lower lid in 8(38%) and both lid in 1(5%) case.14(67%) cases were of tumor excision,5(24%) of trauma,and 2(9%) of coloboma. Lid defect was <25% in 3(14%) ,25-50% in 9(15%) ,50-75% in 12(57%) and >75% in 2(9%) cases.Procedures performed -direct closure in 1(5%),tenzel flap in 9(43%),Hughe’s flap in 4(19%),Cutler beard procedure in 6(28%) &amp; Fricke flap in 1(5%) case.Partial graft necrosis occurred in 1(5%) case,mild lid notching in 3(15%),mild lagophthalmos in 4(20%),ptosis in 1(5%) and scar related sequele in 1(5%).No sight threatening long term complications were observed at mean follow up of 8(1-24)m.Lid contour and mobility was satisfactory in all (100%) cases.

Conclusion: Appropriate method of eyelid reconstruction for primary or acquired coloboma can give excellent cosmetic and functional outcome in the long term.

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