Alt Kapak Rekonstrüksiyonunda Otojen Sert Damak Mukoza Grefti Uygulama Sonuçları

Purpose: To evaluate the surgical outcome of autogenic hard palate mucosal grafts (HPMGs) in full-thickness lower eyelid reconstruction\udfollowing tumor excision.\udMaterial and Method: The medical records of patients who had full-thickness lower eyelid tumor excision between 2005 and 2009 were\udretrospectively reviewed. Seven patients who had HPMG for posterior lamellar reconstruction were included in the study. Graft complications\udlike necrosis, contraction, excessive mucous discharge, and potential problems in the graft harvesting site and technique were evaluated.\udResults: Seven eyelid reconstructions with HPMG were performed on 4 female and 3 male patients with an age range of 48 to 71 years at\udsurgery. The patients were followed for 6 to 56 months. Two patients had inferior eyelid retraction - one of them was severe and the other one\udwas mild. None of the patients had HPMG necrosis. Donor site haemorrhage occurred in two patients which was controlled with direct pressure\udand cauterization in the early postoperative period.\udDiscussion: HPMGs have been the golden standard for the reconstruction of posterior lamellar eyelid defects. The main problem\udabout these grafts is that the oral cavity is an unusual region for ophthalmologists with potential complications arising from the hard\udpalate. Comprehension of the anatomy, proper surgical technique, and postoperative care can decrease the rate of these complications.\ud(Turk J Ophthalmol 2013; 43: 442-5