Fat transfer for cicatricial ectropion in lamellar ichthyosis.

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• 作者：Olimpiu Ioan Harceaga ; Simona Delia Nicoara…
• 关键词：Fat transfer ; Ichthyosis ; Skin graft lipofilling
• 刊名：European Journal of Plastic Surgery
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：39
• 期：1
• 页码：57-60
• 全文大小：5,034 KB
• 参考文献：1.Das S, Honavar SG, Dhepe N et al (2010) Maternal skin allograft for cicatricial ectropion in congenital ichthyosis. Ophthal Plast Reconstr Surg. 26(1):42–3. doi:10.​1097/​IOP.​0b013e3181b8e0d4​
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• 作者单位：Olimpiu Ioan Harceaga (1)
  Simona Delia Nicoara (2)
  Valentin Muntean (3)
  Dan Grigorescu (1)
  Maximilian Vlad Muntean (3)
  
  1. Department of Plastic Surgery Emergency County Clinical Hospital Brasov Faculty of Medicine “Transylvania” University, 25-27 Calea Bucureşti str., 500365, Brasov, Romania
  2. Department of Ophthalmology, “Iuliu Hatieganu” University of Medicine and Pharmacy, 8, V. Babes str., 400012, Cluj-Napoca, Romania
  3. Department of Surgery CF Clinical Hospital, “Iuliu Hatieganu” University of Medicine and Pharmacy, 16-18-20 Republicii str., 400015, Cluj-Napoca, Romania
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Plastic Surgery
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1435-0130

文摘

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. Keywords Fat transfer Ichthyosis Skin graft lipofilling