title: [Early repair of full layer eyelid defect caused by chemical burn].
abstract: OBJECTIVE
  To investigate the optimal time and method of the early repair of the full layer eyelid defect caused by chemical burn.
  
  
  METHODS
  Free nasal septum mucosal cartilage flap with muscle flap, skin grafting, or skin flap were performed in 18 cases (19 eyelids) with chemical burn within 4 postburn weeks. Eyelid reconstruction and corneal transplantation were performed at the same time in 4 patients.
  
  
  RESULTS
  All the reconstructed eyelids and transplanted cornea survived. The incidence of severe complications, such as exposure keratitis, corneal ulcer and eyeball perforation decreased.
  
  
  CONCLUSIONS
  Full layer eyelid defect caused by chemical burn should receive early reconstruction and repair, including timely reconstruction of eyelid for the sake of protecting the eyesight and of alleviating the inflammatory reactions, and the corneal transplantation should be done at the same time to avoid corneal perforation. Nasal septum mucosal cartilage flap could be ideal for the eyelid reconstruction.
authors.affiliation: Department of Plastic Surgery, The First People's Hospital of Zhengzhou, Henan Province 450004, P.R. China.
authors.forename: Dao-gong
authors.initials: DG
authors.lastname: Liu
authors.forename: Xi-hua
authors.initials: XH
authors.lastname: Niu
authors.forename: Wei
authors.initials: W
authors.lastname: Qin
authors.forename: Lin
authors.initials: L
authors.lastname: Li
authors.forename: Hong-feng
authors.initials: HF
authors.lastname: Zhai
authors.forename: Li-ya
authors.initials: LY
authors.lastname: Wang
mesh_terms: D000328:Adult; D002057:Burns, Chemical / Q000601:surgery*; D016039:Corneal Transplantation; D005143:Eyelids / Q000293:injuries / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged