Purpose To determine if harvesting free tarsal grafts from the upper eyelids i s associated with significant morbidity. Design Prospective case series. Methods Consecutive patients managed with free tarsal grafts by t...Purpose To determine if harvesting free tarsal grafts from the upper eyelids i s associated with significant morbidity. Design Prospective case series. Methods Consecutive patients managed with free tarsal grafts by three of the authors (D .S., D.G., R.G.) over a 4 year period. Results Ninety one eyelids in 75 patien ts were operated on using the free tarsal graft for various eyelid pathologies. Mean follow up period was 14.83 ±8.45 months (range, 4 to 42 months). Contour peaking in donor upper eyelid appeared in two eyelids (2.2%), lash ptosis in fo ur eyelids (4.4%) of three patients, and donor site infection in one eyelid (1. 1%). Four patients (5.3%) complained of a transient ocular discomfort. There w ere no cases of postoperative changes on the eyelid height, entropion, or kerato pathy in the donor site eye. Most of the donor site complications were mild or t ransient and required no further surgery. In three patients who underwent subseq uent surgery to treat preexisting ptosis or retraction of the donor eyelid, the results were less predictable and further procedures were required. Conclusion F ree tarsal grafts harvested from the upper eyelids, with preservation of at leas t 4 mm of the tarsal plate inferiorly, do not lead to significant donor site mor bidity. However, subsequent procedures to alter the position of the donor eyelid may be less predictable.展开更多
文摘Purpose To determine if harvesting free tarsal grafts from the upper eyelids i s associated with significant morbidity. Design Prospective case series. Methods Consecutive patients managed with free tarsal grafts by three of the authors (D .S., D.G., R.G.) over a 4 year period. Results Ninety one eyelids in 75 patien ts were operated on using the free tarsal graft for various eyelid pathologies. Mean follow up period was 14.83 ±8.45 months (range, 4 to 42 months). Contour peaking in donor upper eyelid appeared in two eyelids (2.2%), lash ptosis in fo ur eyelids (4.4%) of three patients, and donor site infection in one eyelid (1. 1%). Four patients (5.3%) complained of a transient ocular discomfort. There w ere no cases of postoperative changes on the eyelid height, entropion, or kerato pathy in the donor site eye. Most of the donor site complications were mild or t ransient and required no further surgery. In three patients who underwent subseq uent surgery to treat preexisting ptosis or retraction of the donor eyelid, the results were less predictable and further procedures were required. Conclusion F ree tarsal grafts harvested from the upper eyelids, with preservation of at leas t 4 mm of the tarsal plate inferiorly, do not lead to significant donor site mor bidity. However, subsequent procedures to alter the position of the donor eyelid may be less predictable.
