Free Tarsoconjunctival Grafts and Composite Grafts
Free tarsoconjunctival and full-thickness composite grafts are utilized in reconstructing eyelids in which defects may be due to tumor removal, trauma, or congenital coloboma.1,2,3 These grafts may be utilized in conjunction with other types of flaps or grafts.
Free tarsoconjunctival grafts are usually harvested from an upper lid in which there is more tarsal tissue with which to work. The donor site necessitates vascular tissue (skin and orbicularis) to support nourishment to the graft. An advantage to the more commonly used tarsoconjunctival flaps is that it is a one-stage procedure.
Composite grafts are used to reconstruct large eyelid defects most commonly in an upper lid but may also be utilized in lower lid reconstruction. Advantages to a composite graft are eyelash preservation and it being a one-stage procedure. Composite grafting necessitates a nutrient vascular source from surrounding skin and orbicularis.
KeywordsFree tarsoconjunctival graft Full-thickness composite graft Eyelid defect Tumor removal Trauma Congenital coloboma
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