Venous wall graft in the eyelid reconstruction: observations drawn from 64 cases


Published: 14 July 2022
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Authors

  • Cesare Barbera Dermatology Unit, Surgical Department, Ospedale degli Infermi, Biella, Italy.
  • Roberto Manzoni Dermatology Unit, Surgical Department, Ospedale degli Infermi, Biella, Italy.
  • Lucio Dodaro Dermatology Unit, Surgical Department, Ospedale degli Infermi, Biella, Italy.
  • Monica Ferraro Dermatology Unit, Surgical Department, Ospedale degli Infermi, Biella, Italy.
  • Paolo Pella Dermatology Unit, Surgical Department, Ospedale degli Infermi, Biella, Italy.

The aim of this report is to illustrate the venous wall graft and to present the observations drawn from a large series of eyelid reconstructions performed with this method. Sixty-four patients underwent venous wall grafts, mostly after resection of invasive carcinomas of the eyelids and, in only one case, after traumatic injury. All patients had good functional and cosmetic results. The average follow-up time was 6.5 years. Few negligible complications were observed. Only two cases (3.1%) needed further surgical treatment. Vein graft is a reliable alternative to traditional procedures in replacing tarsus-conjunctival layer, achieving satisfactory results. A single surgical session is required, usually without complications.


Morales M, Ghaiy R, Itani K. Eyelid reconstruction. Selected Readings in Plastic Surgery 2010;11:1-43

Mathijssen IM, van der Meulen JC. Guidelines for reconstruction of the eyelids and canthal regions. J Plast Reconstr Aesthet Surg 2010;63:1420–33.

Barbera C, Manzoni R, Dodaro L, et al. Reconstruction of the tarsus-conjunctival layer using a venous wall graft. Ophtal Plast Reconstr Surg 2008;24:352-56.

Bucciante L. Histology of the venous wall. Symp Intern Morphol Istoch Paroi vasculaire. Fribourg 1965 Angiologica 1966;2:211-305

Whitnall SE. Anatomy of the human orbit and accessory organs of vision. 2nd ed. London: Oxford University Press; 1932.

Gormley D.E A brief analysis of the Burow’s wedge/triangle principle. J Dermatol Surg Oncol 1985;11:121-23.

McGregor IA, Morgan G. Axial and random pattern flaps. Br J Plast Surg 1973;26:202-13.

Tenzel RR, Steward WB. Eyelid reconstruction by the semicircle flap technique. Ophtalmology 1978;85:1164-69.

Blaskovics L. About total reconstruction of lower eyelids. Z Augenheilk 1920;40:1-6

Mustardé JC. Major reconstruction of the eyelids: functional and aesthetic considerations. Clin Plast Surg 1981;8:227-36.

Bertelmann E, Rieck P, Guthoff R. Medial canthal reconstruction by a modified glabellar flap. Ophtalmologica 2006;220:368-71.

Meadows AE, Manners RM. A simple modification of the glabellar flap in medial canthal reconstruction. Ophtalmic Plast Reconstr Surg 2003;19:313-15

Kersten R. Orbits, eyelids and lacrimal system: Section 7. In Purdy EP.American Academy of Ophtalmology Basic and Clinical Science Course. San Francisco: American Acad Ophtal 2006:139.

Burton AC. Relation of structure to function of the tissues of the wall of the blood-vessels. Physiol Rev 1954;34:619-42

Hashikawa K, Tahara S, Nakahara M, et al. Total lower lid support with auricular cartilage graft. Plast Reconstr Surg 2005;115:880-84

Holt JE, Holt GR, Van Kirk M. Use of temporalis fascia in eyelid reconstruction. Ophthalmology 1984;91:89-93.

Cesare Barbera, Dermatology Unit, Surgical Department, Ospedale degli Infermi, Biella

 

 

Roberto Manzoni, Dermatology Unit, Surgical Department, Ospedale degli Infermi, Biella

 

 

Lucio Dodaro, Dermatology Unit, Surgical Department, Ospedale degli Infermi, Biella

 

 

Monica Ferraro, Dermatology Unit, Surgical Department, Ospedale degli Infermi, Biella

 

 

Paolo Pella, Dermatology Unit, Surgical Department, Ospedale degli Infermi, Biella

 

 

Barbera, C., Manzoni, R., Dodaro, L., Ferraro, M., & Pella, P. (2022). Venous wall graft in the eyelid reconstruction: observations drawn from 64 cases. Dermatology Reports, 15(1). https://doi.org/10.4081/dr.2022.9499

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