Title: 10 French silicone foley cather use as expander device in lid reconstruction surgery

Biography:

Salil Kumar Mandal studied Medical College Kolkata A .Regional Institute of Ophthalmology MBBS MD DNB. His Research Interests are ophthalmology surgery, Medical and Surgical Eye Care .Presently he is work as Associate Professor Medical College Kolkata. Regional Institute of Ophthalmology, India.

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Abstract

Purpose:To evaluate the surgical  and cosmetic outcome using a silicone Foley catheter as a tissue expander device  after removal of malignant tumors of the upper and lower eyelids.

Methods:Prospective, non comparative,interventional study in15 patients over a period of 18 months. 10-French silicon Foley catheter was inserted in the zygomaticotemporal region lateral to lateral canthus. Temporary  tissue  expansion  with balloon filled with  10 ml normal saline  for  six days.  On  seventh day  balloon  was deflated and a Tenzel rotational flap was performed

Results:12 patients had a 60 -70 % lower eyelid and 40-50% upper lid created defect.Central palpebral fissure 8±1.5mm in 1^st wk and 14±1.25 mm end 2^nd wk.

Conclusion:Novel surgical approach utilizing a 10-French Foley catheter as a tissue expander. Temporary Tissue expansion allow easy closure of large eyelid defects wth less stress on suture line. . Excellent functional and cosmetic outcomes.It is cost effective and readily available.