Chonnam Med J.  2010 Dec;46(3):199-201. 10.4068/cmj.2010.46.3.199.

Correction of Postoperative Lower Eyelid Retraction by Buccal Mucosal Graft Combined with Retroauricular Skin Graft

• Yang Y
• Lee SH
• Lee JS
• Park YG
• Yoon KC

• KMID: 2116777
• DOI: http://doi.org/10.4068/cmj.2010.46.3.199

Abstract

A 52-year-old man with lower eyelid retraction and infraciliary skin contracture of the left eye, occurring secondary to repair of an orbital wall fracture, was referred. He had considerable scleral show, lagophthalmos, and a very poor cosmetic appearance. A buccal mucosal graft combined with a periauricular skin graft was performed. The postoperative outcome was highly satisfactory, with complete eye closure and good cosmesis achieved. A buccal mucosal graft can be effectively used for the management of postoperative lower lid retraction.

Keyword

Eyelids; Mouth mucosa; Skin grafting

MeSH Terms

Contracture
Cosmetics
Eye
Eyelids
Humans
Middle Aged
Mouth Mucosa
Orbit
Skin
Skin Transplantation
Transplants
Cosmetics

Figure

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  Fig. 1 Preoperative photograph demonstrating lower lid retraction, skin contracture, and hyperglobus in the left eye.

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  Fig. 2 Intraoperative photographs. (A) After the adhesion of the orbital septum was released, the buccal mucosa graft was sutured to the tarsal conjunctiva. (B) After releasing the skin contracture, the retroauricular skin was grafted.

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  Fig. 3 Six months after surgery, lower lid retraction was improved.

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