Successful repair of a full upper eyelid defect following traumatic amputation by simply suturing it back in place

Successful repair of a full upper eyelid defect following traumatic amputation by simply suturing it back in place

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There is a general belief that a Art Work full-thickness eyelid defect is best repaired using a vascularized flap in combination with a free graft, and that a free full-thickness eyelid graft would not survive due to poor blood perfusion.However, we describe a case in which an Carving upper eyelid was traumatically amputated.The eyelid was sutured in place and healed well in situ.

The long-term outcome was good regarding motility and function.This raises the question of whether a blood-supplying pedicle is necessary for the survival of the graft when repairing large eyelid defects.