title: [Synthetic skin replacement for temporary wound coverage in eyelid surgery].
abstract: BACKGROUND
  Large uncovered defects of lid-skin which extend beyond the margin of the orbital rim frequently cause wound contracture and malposition of the lid.
  
  
  METHODS
  Between April 1989 and October 1992 we have successfully used synthetic skin in severe cases of traumatic skin ablation (n = 3) and in complicated tumor surgery of the lids and of the medial canthal area (n = 14). Polyurethan foam material was used for temporary skin replacement (Epigard).
  
  
  RESULTS
  The synthetic skin stimulated wound granulation and vascularization of the host area before final closure of the defect was achieved. No wound contracture occurred.
  
  
  CONCLUSIONS
  Temporary bandage with synthetic skin is recommended if large skin defects can not be closed within 48 hours.
authors.affiliation: Univ.-Augenklinik Freiburg.
authors.forename: H
authors.initials: H
authors.lastname: Mittelviefhaus
authors.forename: K U
authors.initials: KU
authors.lastname: Löffler
mesh_terms: D000328:Adult; D000368:Aged; D004483:Ectropion / Q000473:pathology / Q000601:surgery*; D005142:Eyelid Neoplasms / Q000473:pathology / Q000601:surgery*; D005143:Eyelids / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D005260:Female; D005465:Fluorocarbon Polymers; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009779:Occlusive Dressings; D013524:Surgical Flaps / Q000379:methods / Q000473:pathology; D014945:Wound Healing / Q000502:physiology
chemical_list: D005465:Fluorocarbon Polymers; C010946:polytetrafluoroethane
vernacular_title: Synthetischer Hautersatz zur temporären Wunddeckung in der Lidchirurgie.