Biodegradable membrane for lower eyelid reconstruction: Clinical outcomes and patient satisfaction

Abstract

Background: Eyelid malignancies often require radical surgical intervention, with a major risk of tissue loss. Reconstructing the eyelid after such procedures is essential to restoring its protective function and aesthetic appearance. Traditional reconstruction methods involve using grafts from other sites of the body; however, these methods are limited by factors such as the availability of donor tissue, potential mismatches in tissue characteristics, and associated complications, including graft failure or scarring. Additionally, donor site morbidity and achieving a perfect match in texture and color remain challenging. Recent advances in biomaterials offer new possibilities for improving surgical outcomes by providing more biocompatible and flexible options that can be tailored to meet patient-specific needs, potentially reducing complications and improving functional and cosmetic outcomes. Methods: The study included 61 patients who underwent lower eyelid reconstruction following the radical removal of malignant tumors. The patients were divided into the experimental (31 patients in whom a biodegradable Diplen membrane was used) and control (30 patients in whom the membrane was not used) groups. Patients were followed up for at least 1 year, with clinical outcomes and patient satisfaction carefully evaluated. Results: The experimental group demonstrated significantly better outcomes regarding eyelid position and color, with fewer complications compared to the control group. Patient satisfaction was significantly higher in the experimental group, demonstrating a strong correlation with clinical outcomes. These findings highlight the effectiveness of the biodegradable Diplen membrane in achieving better functional and aesthetic outcomes. Conclusions: Eyelid reconstruction using the biodegradable Diplen membrane offers excellent functional and aesthetic outcomes, significantly enhancing patient satisfaction, which is crucial for postoperative rehabilitation and improved quality of life.

Keywords

• Lower eyelid reconstruction
• Biodegradable diplen membrane
• Malignant tumor excision
• Ophthalmic surgery
• Patient satisfaction