A.B. NURAEVA

The Russian Eye and Plastic Surgery Centre of the Russian Federation Health Ministry, 67/1 Zorge Str., Ufa, Russian Federation, 450075

 Nuraeva A.B. ― Cand. Med. Sc., Head of Ophthalmology Department, tel. (347) 293-42-28, е-mail: a.nuraeva@mail.ru

 The article presents comparative statistical analysis of unilateral postburn cicatricial ectropion of upper and lower eyelids surgical treatment results in 23 patients. The study group included 14 patients aged 2-67 (13 males; 1 female). The control group consisted of 9 patients aged 2-52 (7 males, 2 females). Patients from the control group underwent free skin grafting of upper and lower eyelids. Patients from the study group underwent combined operation using Alloplant biomaterials, i.e. allogenous tendon fibres and allotransplant for eyelid plasty, in combination with free skin grafting of upper and lower eyelids. All patients underwent qualitative assessment before surgery including the degree of ectropion and lagophthalmos, interpalpebral rim width and visual acuity. The effect of surgical treatment was evaluated using the same criteria. The analysis showed higher effectiveness of combined operation using Alloplant technology compared to standard technique.

Key words: postburn eyelid ectropion, surgical reconstruction, biomaterials.

REFERENCES

1. Kostakoglu Naci, Ozcan Gurhan. Orbicularis oculi myocutaneous flap in reconsruction of postburn lower eyelid ectropion. Burns, 1999, vol. 25, no. 6, pp. 553-557.
2. Malhotra R., Sheikh I., Dheansa B. The management of Eyelid Burns. Survey of Ophthalmology, 2009, vol. 54, no. 3, pp. 356-371.
3. de Sousa J.L., Leibovitch I., Malhotra R. et al. Techniques and outcomes of total upper and lower eyelid reconstruction. Arch. Ophthalmol, 2007, vol. 125, pp. 1601-1609.
4. Emesz M., Krall E.M., Rasp M. et al. Transplants from the hard palate: method for mucosal graft reconstruction of the upper eyelid. Ophthalmology, 2014, vol. 111, pp. 853-861.
5. Inchingolo F., Tatullo M., Abenavoli F.M. et al. Upper eyelid reconstruction: a short report of an eyelid defect following a thermal burn. Head and Face Med, 2009, vol. 5, no. 1.
6. Lopez-Arcas J.M., Martin M., Gomez E. et al. The Guyuron retroauricular island flap for eyelid and eye socket reconstruction in children. Int. J. Oral Maxillofac. Surg, 2009, vol. 38, no. 7, pp. 744-750.
7. Rathore D.S., Chickadasarahilli S., Crossman R. et al. Full thickness skin grafts in periocular reconstructions: long-term outcomes. Ophthal. Plast. Reconstr. Surg, 2014, no. 30, pp. 517-520.
8. Ueda K., Oba S., Okada M. et al. Eyelid reconstruction with a composite radial forearm palmaris longus tendon flap. J. Plast. Reconstr. Aesthet. Surg, 2007, vol. 60, no. 3, pp. 256-259.
9. Subramanian N. Reconstructions of eyelid defects. Indian J. Plast. Surg, 2011, vol. 44, no. 5, p. 13.
10. Kim S.W., Han H.H., Jung S.N. Orbicularis oculi myocutaneous island flap for upper eyelid reconstruction. J. Craniofac. Surg, 2012, no. 23, pp. 746-748.
11. Rubino C., Farace F., Puddu A. et al. Total upper and lower eyelid replacement following thermal burn using an ALT flap ― a case report. J. Plast. Reconstr. Aesthet. Surg, 2008, no. 61, pp. 578-581.
12. Nuraeva A.B. Sposob khirurgicheskogo lecheniya posleozhogovogo vyvorota verkhnego i nizhnego vek: Patent no. 2578846, prioritet 12.01.2015 g., zaregistr. 01.03.2016, opublikovano 27.03.2016 [The method of surgical treatment of post-burn eversion of upper and lower eyelids: Patent no. 2578846, priority of 01.12.2015, Registered. 03.01.2016 city, published 27/03/2016]. Byul. no. 9.
13. Muldashev E.R., Galimova V.U., Nuraeva A.B., Salikhov A.Yu. Sposob khirurgicheskogo lecheniya rubtsovogo vyvorota nizhnego veka: Patent no. 2248193, prioritet 01.09.2003 g. Opublikovano: 20.03.2005 [The method of surgical treatment of cicatricial eversion of the lower eyelid: Patent no. 2248193, priority 01.09.2003 Published: 20.03.2005].
14. Khollender M., Vul’f D. Neparametricheskie metody statistiki [Non-parametric statistical methods]. Moscow: Finansy i statistika, 1983. 518 p.
15. Rebrova O.Yu. Statisticheskiy analiz meditsinskikh dannykh. Primenenie paketa prikladnykh programm: STATISTICA [Statistical analysis of medical data. The use of the application package: STATISTICA]. Moscow: Mediasfera, 2002. 312 p.
16. Regenerativnaya meditsina. Biomaterialy Alloplant v oftal’mokhirurgii, pod obshch. red. prof. E.R. Muldasheva [Regenerative Medicine. Biomaterials Alloplant in ophthalmic surgery. Ed. by prof. E.R. Muldashev]. Ufa: GUP “Gosudarstvennoe respublikanskoe izdatel’stvo “Bashkortostan”, 2014. 432 p.