Autologous Palpebral Reconstruction in a Patient with Avulsive Stab Wound Trauma: Aesthetic and Functional Results

Abstract

Palpebral reconstruction was performed in a 25-year-old female patient who suffered severe avulsive trauma and rupture of the eyeball by a stab wound. Restoration was performed with an anthologous flap and simple evisceration. The surgical approach to severe palpebral injuries is complex, since the recognition and restoration of the multiple tissues involved is a challenge. The effectiveness of the procedure was evidenced by the good aesthetic and functional results, given by the recovery of the levator muscle function and the preservation of the aesthetics of the reconstructed upper eyelid. In addition, the results in this case highlight the importance of a thorough knowledge of the palpebral anatomy, the adequate selection of the type of suture and the preservation of the blood flow of the avulsed palpebral tissue to maintain its vitality. The favorable evolution of the patient highlights the value of a personalized approach, the relevance of a detailed follow-up and an adequate postoperative prosthetic rehabilitation, with the successful adaptation of an ocular prosthesis. This case illustrates the effectiveness of a thorough medical and surgical treatment, as well as the need for a multidisciplinary approach to achieve better results.