Mittelviefhaus H, Löffler K U
Univ.-Augenklinik Freiburg.
Klin Monbl Augenheilkd. 1993 Sep;203(3):174-9. doi: 10.1055/s-2008-1045664.
Large uncovered defects of lid-skin which extend beyond the margin of the orbital rim frequently cause wound contracture and malposition of the lid.
Between April 1989 and October 1992 we have successfully used synthetic skin in severe cases of traumatic skin ablation (n = 3) and in complicated tumor surgery of the lids and of the medial canthal area (n = 14). Polyurethan foam material was used for temporary skin replacement (Epigard).
The synthetic skin stimulated wound granulation and vascularization of the host area before final closure of the defect was achieved. No wound contracture occurred.
Temporary bandage with synthetic skin is recommended if large skin defects can not be closed within 48 hours.
