The use of AlloDerm in the reconstruction of full-thickness eyelid defects.
OBJECTIVE
To demonstrate the potential for the use of AlloDerm as a posterior lamellar graft in the reconstruction of full-thickness lid defects.


METHODS
In our case series, we evaluated the surgical outcome of three consecutive patients, two with an upper eyelid defect and one with a lower eyelid defect who underwent lid reconstruction using AlloDerm grafts.


RESULTS
AlloDerm was readily taken up into the wound defect, with complete coverage of its bulbar surface by conjunctiva. In all the cases, the cornea was not affected by its contact to the AlloDerm. A mucocutaneous junction formed over the margin of the AlloDerm graft with good cosmesis.


CONCLUSIONS
AlloDerm has the potential to act as an effective posterior lamellar substitute in situations where there is an adequate amount of skin muscle cover available to drape over it. It is rigid enough to replace tarsus and its structure behaves as a scaffold allowing conjunctiva to readily grow over it.
Wolverhampton and Midland Counties Eye Infirmary, New Cross Hospital, Wolverhampton, West Midlands, UK.
Sreekumari
S
Pushpoth
Katya
K
Tambe
Soupramanien
S
Sandramouli
D000328:Adult; D000368:Aged; D001672:Biocompatible Materials / Q000627:therapeutic use*; D019882:Blepharoplasty / Q000379:methods*; D002280:Basal Cell Carcinoma / Q000473:pathology / Q000601:surgery; D003094:Collagen / Q000627:therapeutic use*; D005131:Eye Injuries / Q000473:pathology / Q000601:surgery; D005142:Eyelid Neoplasms / Q000473:pathology / Q000601:surgery; D005143:Eyelids / Q000293:injuries / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D017768:Skin, Artificial; D016896:Treatment Outcome
C440568:Alloderm; D001672:Biocompatible Materials; D003094:Collagen