Reconstructive Complications After Perioculer Mass Excision

Yıl 2013, Cilt: 46 Sayı: 1, 27 - 31, 01.04.2013

Mehmet Balcı Rahmi Duman Sibel Özdoğan Ceyda Başkan Mustafa Alpaslan Anayol Emre Güler

https://doi.org/10.5505/aot.2013.03522

Öz

This study includes 6 interesting cases who developed complications after reconstructive surgery due to periorbital mass excision. Patients' data were evaluated retrospectively. Three patients with different ages,who developed ecchymoses postoperatively, were followed up.The first patient was 17 years old and dermoid cyst excision was performed on the lateral side of orbita at the eye brow level. This patient did not have any systemic disease and was simply followed up.Other two patients were at advanced age and both of them developed ecchymoses bilaterally..Another patient was also at advanced age and developed necrosis following reconstruction with skin flap. In this case, by graft application complete healing was succeeded uneventfully.. Two other cases drew attention due to scar development after primary suturation. According to the degree of scar formation, surgery or follow up was performed.Complications could be seen even after well planned and performed periocular reconstructions.Close follow up and abrupt treatment are essential.

Anahtar Kelimeler

Periocular Mass Excision, Oculoplastic Complications, Postoperative Scar, Postoperative Ecchymosis.

Periokuler Kitle Eksizyonu Sonrası Rekonstrüksiyonda Karşılaşılan Komplikasyonlar

Öz

Bu çalışma periorbital kitle eksizyonu sonrası rekonstrüksiyon uygulanan ve komplikasyon gelişmiş olan 6ilginç hastayı içermektedir. Hasta verileri retrospektif olarak değerlendirildi. Postoperatuvar ekimoz gelişen, değişik yaşlarda üç hastatakip edildi. İlk hasta 17 yaşlarında idi ve orbita laterali-kaş hizasında dermoid kist eksizyonuuygulanmıştı. Sistemik bir hastalık mevcut değildi. Sadece takip uygulandı. Diğer iki hasta ileriyaşta idi ve bilateral ekimoz gelişmişti. Diğer bir vaka ileri yaşta fleple rekonstrüksiyon sonrasınekroz gelişen hasta idi. Vakada greft uygulanarak sorunsuz iyileşme elde edildi. Diğer iki vakaprimer sütürasyon sonrası gelişen skar ile dikkat çekten hastalardı. Skarın derecesine görecerrahi veya takip uygulandı. İyi planlanmış ve uygulanmış periokuler rekonstrüksiyonlarda dakomplikasyon görülebilmektedir. Yakın hasta takibi yapılmalı ve gereken tedavilergecikmeksizin uygulanmalıdır.

Anahtar Kelimeler

Periokuler kitle eksizyonu, Okuloplastik komplikasyonlar, Postoteratif skar, Postoperatif ekimoz

Kaynakça

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