CURRENT CAPACITIES OF FREE TISSUE AUTOTRANSPLANTATION IN THE RECONSTRUCTIVE SURGERY OF THE EYELIDS AND PERIORBITAL REGION

The authors analyzed the results of surgical treatment and revealed its most effective procedures in 120 patients with congenital and acquired deformities and defects of the eyelids and periorbital region, in whom free tissue autotransplantation was used. In surface defects of the lower eyelid with damage to its support structures, it is expedient to combine free skin flap autotransplantation with eyelid fixation using an autochondral graft taken from the auricle. A free deepidermized skin-fat graft and adipose tissue autotransplantation (lipofilling) are most effective to correct contour deformities of the periorbital region if autotransplantation techniques are strictly observed. Autotransplantation of hair follicles taken from the eyebrow is an optimal way for restoring the ciliary edges of eyelids. A differential approach to using the effective methods for transplantation of the skin, fat, cartilage, hair follicles, or a deepidermized skin-fat graft could considerably extend the capacities of reconstructive blepharoplasty, enhance the efficiency of treatment, and achieve early medical and social rehabilitation of patients with congenital and acquired deformities and defects of the eyelids and periorbital region.

eyelid deformities, eyelid defects, tissue autotransplantation, lipofilling, reconstructive blepharoplasty