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10 Year Experience in Burn Eyelid Surgery: A Single Center Retrospective Cohort Study

Tiffany Jeong, Mario Alessandri-Bonetti, Avril Betances, Guy Stofman, Francesco M Egro
University of Pittsburgh School of Medicine

Presenter: Tiffany Jeong

Tiffany Jeong

Director Name: Francesco Egro

Author Category: Medical Student
Presentation Category: Clinical
Abstract Category: Craniomaxillofacial

There is a paucity of studies on outcomes in eyelid burn treatment, despite concern for permanent ocular damage or loss of vision. This study aims to describe the complication rates in burn eyelid reconstruction at a single center over 10 years.
We conducted a retrospective study to review outcomes of eyelid burns undergoing plastic surgery reconstruction between April 2009 and December 2022. Gathered data include demographics, past medical history, type of injury, indication for surgery, procedure performed and complications.
A total of 12 patients underwent 48 eyelid surgeries with a mean follow-up time of 11.714.5months. In 60.4%(n=29) of the cases, the simultaneous reconstruction of both the upper and lower eyelids was necessary. Acute eyelid burn treatment represented 45.8% of the cases, while in 54.2% of the cases chronic burn sequelae were addressed. The eyelid procedures performed included: full thickness skin graft (45.8%, n=22), flap reconstruction (16.7%, n=8), debridement (14.6%, n=7), Integra (10.4%, n=5), split thickness skin graft (8.3%, n=4), canthoplasty (8.3%, n=4), TheraGenesis (4.2%, n=2), and fractional lasering (2.1%, n=1). The overall complication rate was 58.3% (n=28). The most common complication was ectropion (33.3%, n=16). Other complications included: lagophthalmos (18.75%, n=9), eye injury (18.75%, n=9), contracture (16.7%, n=8), eyelid infection (12.5%, n=6), sepsis (8.3%, n=4), total graft loss (4.2%, n=2), and partial graft loss (4.2%, n=2).
Further studies examining the conditions of successful eyelid burn procedures may provide guidance on when patients may benefit from eyelid reconstruction during their burn treatment.

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