Background The abundance of closely packed vital structures in the periocular and palpebral regions makes resection and subsequent reconstructive interventions extremely difficult.Methods In this novel article,we desc...Background The abundance of closely packed vital structures in the periocular and palpebral regions makes resection and subsequent reconstructive interventions extremely difficult.Methods In this novel article,we described a method for closing lower eyelid defects after tumor excision using a skin-muscle flap from the upper eyelid along with the use of an adhesive diplene biodegradable membrane.The membrane was used for seamless fixation of the flap and to prevent the development of lower eyelid deformity.Results The case presented herein demonstrated that using diplene adhesive biodegradable membranes has excellent functional and aesthetic results.Conclusion Our findings suggest that an adhesive biodegradable diplene membrane can be used for the reconstruction of the lower eyelid to prevent the occurrence of retraction,for the surgical treatment of ectropion including recurrent cases,and for seamless fixation of flaps to wound surfaces in patients with a tendency to form keloids and hypertrophic scars.展开更多
Background:Damage to the skin and underlying tissues due to thermal burns is relevant.Despite the success of modern medicine,repairing thermal damage to the skin is a difficult task in reconstructive plastic surgery b...Background:Damage to the skin and underlying tissues due to thermal burns is relevant.Despite the success of modern medicine,repairing thermal damage to the skin is a difficult task in reconstructive plastic surgery because of the nature of the damage and the regenerative features.Characteristic post-burn changes are associated with different depths of damage when areas of deep damage are combined with more superficial areas.Methods:We described a clinical case of the staged surgical treatment of a cicatricial deformity of the buccalperiorbital-perioral region resulting from a childhood burn injury from a hot object.The 44-year-old patient complained of an aesthetic and functional deformity of the buccal-periorbital-perioral region and had previously undergone repeated nonsurgical corrections.Results:A comprehensive approach to the surgical treatment of a patient with post-burn deformities using a diplene adhesive membrane directly affected the stage of the surgical treatment and contributed to improved functional and aesthetic results.Conclusion:The positive treatment results with preserved contraction and relaxation processes of the facial muscles as well as satisfactory aesthetic results allow us to recommend the use of a biodegradable diplene film during facial reconstructive operations.展开更多
Background:Eyelid malignancies often require radical surgical intervention,with a major risk of tissue loss.Reconstructing the eyelid after such procedures is essential to restoring its protective function and aesthet...Background:Eyelid malignancies often require radical surgical intervention,with a major risk of tissue loss.Reconstructing the eyelid after such procedures is essential to restoring its protective function and aesthetic appearance.Traditional reconstruction methods involve using grafts from other sites of the body;however,these methods are limited by factors such as the availability of donor tissue,potential mismatches in tissue characteristics,and associated complications,including graft failure or scarring.Additionally,donor site morbidity and achieving a perfect match in texture and color remain challenging.Recent advances in biomaterials offer new possibilities for improving surgical outcomes by providing more biocompatible and flexible options that can be tailored to meet patient-specific needs,potentially reducing complications and improving functional and cosmetic outcomes.Methods:The study included 61 patients who underwent lower eyelid reconstruction following the radical removal of malignant tumors.The patients were divided into the experimental(31 patients in whom a biodegradable Diplen membrane was used)and control(30 patients in whom the membrane was not used)groups.Patients were followed up for at least 1 year,with clinical outcomes and patient satisfaction carefully evaluated.Results:The experimental group demonstrated significantly better outcomes regarding eyelid position and color,with fewer complications compared to the control group.Patient satisfaction was significantly higher in the experimental group,demonstrating a strong correlation with clinical outcomes.These findings highlight the effectiveness of the biodegradable Diplen membrane in achieving better functional and aesthetic outcomes.Conclusions:Eyelid reconstruction using the biodegradable Diplen membrane offers excellent functional and aesthetic outcomes,significantly enhancing patient satisfaction,which is crucial for postoperative rehabilitation and improved quality of life.展开更多
文摘Background The abundance of closely packed vital structures in the periocular and palpebral regions makes resection and subsequent reconstructive interventions extremely difficult.Methods In this novel article,we described a method for closing lower eyelid defects after tumor excision using a skin-muscle flap from the upper eyelid along with the use of an adhesive diplene biodegradable membrane.The membrane was used for seamless fixation of the flap and to prevent the development of lower eyelid deformity.Results The case presented herein demonstrated that using diplene adhesive biodegradable membranes has excellent functional and aesthetic results.Conclusion Our findings suggest that an adhesive biodegradable diplene membrane can be used for the reconstruction of the lower eyelid to prevent the occurrence of retraction,for the surgical treatment of ectropion including recurrent cases,and for seamless fixation of flaps to wound surfaces in patients with a tendency to form keloids and hypertrophic scars.
文摘Background:Damage to the skin and underlying tissues due to thermal burns is relevant.Despite the success of modern medicine,repairing thermal damage to the skin is a difficult task in reconstructive plastic surgery because of the nature of the damage and the regenerative features.Characteristic post-burn changes are associated with different depths of damage when areas of deep damage are combined with more superficial areas.Methods:We described a clinical case of the staged surgical treatment of a cicatricial deformity of the buccalperiorbital-perioral region resulting from a childhood burn injury from a hot object.The 44-year-old patient complained of an aesthetic and functional deformity of the buccal-periorbital-perioral region and had previously undergone repeated nonsurgical corrections.Results:A comprehensive approach to the surgical treatment of a patient with post-burn deformities using a diplene adhesive membrane directly affected the stage of the surgical treatment and contributed to improved functional and aesthetic results.Conclusion:The positive treatment results with preserved contraction and relaxation processes of the facial muscles as well as satisfactory aesthetic results allow us to recommend the use of a biodegradable diplene film during facial reconstructive operations.
文摘Background:Eyelid malignancies often require radical surgical intervention,with a major risk of tissue loss.Reconstructing the eyelid after such procedures is essential to restoring its protective function and aesthetic appearance.Traditional reconstruction methods involve using grafts from other sites of the body;however,these methods are limited by factors such as the availability of donor tissue,potential mismatches in tissue characteristics,and associated complications,including graft failure or scarring.Additionally,donor site morbidity and achieving a perfect match in texture and color remain challenging.Recent advances in biomaterials offer new possibilities for improving surgical outcomes by providing more biocompatible and flexible options that can be tailored to meet patient-specific needs,potentially reducing complications and improving functional and cosmetic outcomes.Methods:The study included 61 patients who underwent lower eyelid reconstruction following the radical removal of malignant tumors.The patients were divided into the experimental(31 patients in whom a biodegradable Diplen membrane was used)and control(30 patients in whom the membrane was not used)groups.Patients were followed up for at least 1 year,with clinical outcomes and patient satisfaction carefully evaluated.Results:The experimental group demonstrated significantly better outcomes regarding eyelid position and color,with fewer complications compared to the control group.Patient satisfaction was significantly higher in the experimental group,demonstrating a strong correlation with clinical outcomes.These findings highlight the effectiveness of the biodegradable Diplen membrane in achieving better functional and aesthetic outcomes.Conclusions:Eyelid reconstruction using the biodegradable Diplen membrane offers excellent functional and aesthetic outcomes,significantly enhancing patient satisfaction,which is crucial for postoperative rehabilitation and improved quality of life.
