A split forehead flap for the treatment of resistant bilateral upper and lower eyelid ectropion postburn injury.

Objective: The aim of this surgical procedure was to definitively correct severe recurrent upper and lower bilateral eyelid ectropion after 2 attempts with full-thickness skin grafts. It was necessary to repair all 4 eyelids with forehead skin. Middle lamella support was required.

A model of pressure distribution under peripherally secured foam dressings on a convex surface: does this contribute to skin graft loss?

Background: Successful skin grafting requires multiple factors for success. An even distribution of constant pressure exerted upon the graft is necessary for successful graft take. It is well known that excessive pressure on a graft causes ischemia and may result in the failure of graft take.