Fat transfer for cicatricial ectropion in lamellar ichthyosis.

Fat transfer for cicatricial ectropion in lamellar ichthyosis. The risk of ectropion recurrence due to skin graft contracture is high especially in patients with ichthyosis. In order to overcome this problem, fat transfer underneath the skin graft was carried out in three consecutive sessions during the early postoperative period of a 27-year-old male patient with lamellar ichthyosis and bilateral upper and lower eyelid ectropion. Transferred fat reduced graft contraction by improving the hydration and viability of the skin. In addition, the grafted fat acted like a spacer and provided tarsal support. To address the persisting epiphora, a medial spindle technique was used to invert the lower punctum lacrimalis. At 8 months follow-up, all the symptoms associated with the ectropion were completely resolved. Level of evidence: Level V, therapeutic study. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Fat transfer for cicatricial ectropion in lamellar ichthyosis.

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Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2016 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-015-1167-1
Publisher site
See Article on Publisher Site

Abstract

The risk of ectropion recurrence due to skin graft contracture is high especially in patients with ichthyosis. In order to overcome this problem, fat transfer underneath the skin graft was carried out in three consecutive sessions during the early postoperative period of a 27-year-old male patient with lamellar ichthyosis and bilateral upper and lower eyelid ectropion. Transferred fat reduced graft contraction by improving the hydration and viability of the skin. In addition, the grafted fat acted like a spacer and provided tarsal support. To address the persisting epiphora, a medial spindle technique was used to invert the lower punctum lacrimalis. At 8 months follow-up, all the symptoms associated with the ectropion were completely resolved. Level of evidence: Level V, therapeutic study.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Feb 1, 2016

References

  • Epithelial differentiation of human adipose tissue-derived adult stem cells
    Brzoska, M; Geiger, H; Gauer, S; Baer, P

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