TITLE:
Palpebral Reconstruction in a Secondary Ophthalmology Center in Mali: About a Case
AUTHORS:
Dembélé Adama, Sidibe Moro, Sidibe Oumar, Dembele Ahmadou, Poma Hachimi Amadou, Abdoulaye Konaté, Oumar Diallo, Djonny Jonas Dembele, Mamadou Adama Togo, Kadiatou Ba Koita, Abdoulaye Nouhoum Coulibaly, Cheick Fantamady Tounkara, Nouhoum Touré, Napo Abdoulaye
KEYWORDS:
Road Accident, Hemi-Face Burn, Eyelid Reconstruction
JOURNAL NAME:
Surgical Science,
Vol.14 No.2,
February
17,
2023
ABSTRACT: Introduction: Significant trauma to the periocular region can seriously damage ocular
structures and their adnexa. The eyelids can be damaged during these traumas. The most frequent lesions are lacerations, the surgical
treatment of which is generally simple. In some cases, there are complex
traumas where there is a loss of tissue, which is difficult to treat. We report
the case of a 26-year-old young man, farmer with no medical and surgical
history, referred by the odontostomatology and maxillofacial surgery department
for burns to the left hemi face by the exhaust pipe of his motorbike which
occurred following a public road accident (AVP). Observation: A
26-year-old young man with no medical-surgical history, visual acuity was 5/10
with good mobility of the globe. In collaboration with the maxillofacial
surgeon, a graft of the hemi face was performed using a flap from the inner
side of the thigh first. In the second time we carried out a recovery by a flap
which consisted in taking a supra-superciliary flap and suturing it at the
level of the palpebral edges which, in spite of a fragile vitality of the
tissues. Conclusion: The reconstruction of the eyelid is a real problem
in our service because of the technical platform and the availability of
consumables, which limits us in the choice of the operating technique.