Reconstruction of eyelid defects using the diplene adhesive membrane

Abstract

Background: The abundance of closely packed vital structures in the periocular and palpebral regions makes resection and subsequent reconstructive interventions extremely difficult. Methods: In this novel article, we described a method for closing lower eyelid defects after tumor excision using a skin-muscle flap from the upper eyelid along with the use of an adhesive diplene biodegradable membrane. The membrane was used for seamless fixation of the flap and to prevent the development of lower eyelid deformity. Results: The case presented herein demonstrated that using diplene adhesive biodegradable membranes has excellent functional and aesthetic results. Conclusion: Our findings suggest that an adhesive biodegradable diplene membrane can be used for the reconstruction of the lower eyelid to prevent the occurrence of retraction, for the surgical treatment of ectropion including recurrent cases, and for seamless fixation of flaps to wound surfaces in patients with a tendency to form keloids and hypertrophic scars.

Keywords

• Adhesive diplene membrane
• Deformation
• Basal cell carcinoma
• Ectropion
• Eyelid defect
• Lower eyelid reconstruction