Surgical Management of Large Periorbital Cutaneous Defects: Aesthetic Considerations and Technique Refinements. (December 2018)

• Record Type: Journal Article
• Authors: Zou, Yun; Hu, Li; Tremp, Mathias; Jin, Yunbo; Chen, Hui; Ma, Gang; Lin, Xiaoxi
• Is Part Of: Annals of plastic surgery. Volume 81:(2018)Supplement 1 6S
• Publication Date: 2018-12
• Subjects: PEPSI -- periorbital cutaneous defects -- reconstruction; Surgery, Plastic -- Periodicals; 617.95205
• DOI: 10.1097/SAP.0000000000001370
• Languages: English
• ISSNs: 0148-7043

Abstract

Abstract : Purpose: The aim of this study was to repair large periorbital cutaneous defects by an innovative technique called PEPSI (periorbital elevation and positioning with secret incisions) technique with functional and aesthetic outcomes. Methods: In this retrospective study, unilateral periorbital cutaneous defects in 15 patients were repaired by the PEPSI technique. The ages of patients ranged from 3 to 46 years (average, 19 years). The outcome evaluations included scars (Vancouver Scar Scale and visual analog scale score), function and aesthetic appearance of eyelids, and patient satisfaction. The repair size was measured by the maximum advancement distance of skin flap during operation. Results: All patients achieved an effective repair with a mean follow-up of 18.3 months. Except one with a small (approximately 0.3 cm 2 ) necrosis, all patients healed with no complication. The mean Vancouver Scar Scale and visual analog scale scores were 2.1 ± 1.7 and 8.5 ± 1.2, respectively. Ideal cosmetic and functional outcomes were achieved in 14 patients (93.3%). All patients achieved complete satisfaction except 1 patient with partial satisfaction. The mean maximum advancement distance of skin flap was 20.2 mm (range, 8–50 mm). Conclusions: This study demonstrated that the PEPSI technique is an effective method to repair large periorbital cutaneous defects with acceptable functional and aesthetic outcomes.