The use of a dermal regeneration template (Integra) for acute resurfacing and reconstruction of defects created by excision of giant hairy nevi.
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Biomedical subjects
Publications and source records attributed to Paul M Glat.
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A unique case of frontozygomatic dermoids in a 4-year-old child is presented. A bilateral, synchronous presentation in this location has not been reported previously in the literature. Both lesions were excised concurrently through upper eyelid crease incisions. The etiology, natural history, management, and prognosis of dermoids are reviewed.
Periorbital reconstruction following skin cancer ablation represents a challenging problem. A thorough understanding of the complex periorbital anatomy is necessary to preserve lid function and protect the ocular surface. The medial canthal region represents the most difficult periorbital zone to reconstruct. This area has a complex anatomy involving both the medial canthus itself and the lacrimal apparatus. The authors present their experience with a versatile technique for reconstruction of the medial canthal periorbital region, namely, a medially based upper eyelid myocutaneous flap. In the 10 patients in whom this procedure was used, there was one partial and no complete flap losses. The authors believe that the medially based upper lid myocutaneous flap offers an excellent solution to the difficult problem of medial canthal periorbital reconstruction.