Soft tissue defects of eyelid and malar region: an experience with the McGregor flap

发表时间：2015-12-09 浏览次数：1327次

引用：

Mukundan PK, Ambookan PV, Dilliraj VK. Soft tissue defects of eyelid and malar r

关键词：

作者：

Pradeoth Korambayil Mukundan1, Prashanth Varkey Am

作者单位：

1 Jubilee Institute for Surgery of Hand, Aesthetic

出版年份：

2014

期刊页数：

69-72

收录者：

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摘要：

Aim: Reconstruction of defects of the eyelids and malar region following trauma may result in considerable distortion of the adjacent tissue. A clinical study was undertaken to demonstrate the ability to utilize a modified McGregor flap for reliable soft tissue coverage. Methods: Nine patients with eyelids and malar soft tissue defects were treated over a period of 12 months from July 2013 to June 2014. In this prospective study, a McGregor flap was used for the closure of defects in 9 patients (7 men and 2 women), aged 20-36 years (mean age: 27 years). Three sessions of hyperbaric oxygen therapy were administered postoperatively, and patients received subsequent follow-up. Results: Six patients presented with malar and lower eyelid defects, two patients presented with malar defects, and one patient with upper eyelid, lower eyelid and malar defects following trauma. A McGregor flap was performed in all patients. The preexcision defects varied in size from 3 cm × 2 cm to 4 cm × 3 cm. No secondary procedures were required in any case. Sutures were removed between 7 and 9 days postoperatively. There were no cases of partial or total flap loss over the course of 10-14 months follow-up. Conclusion: The outcome following use of the McGregor flap procedure was functionally and aesthetically satisfactory in all cases. The McGregor flap is a useful option for the reconstruction of defects following trauma to the upper eyelid, lower eyelid, and malar regions.

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