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Professor Malin Malmsjö, MD, PhD. Photo.

Malin Malmsjö

Professor

Professor Malin Malmsjö, MD, PhD. Photo.

Perfusion in Upper Eyelid Flaps : Effects of Rotation and Stretching Measured With Laser Speckle Contrast Imaging in Patients

Author

  • Cu Dybelius Ansson
  • Johanna V Berggren
  • Kajsa Tenland
  • Rafi Sheikh
  • Jenny Hult
  • Ulf Dahlstrand
  • Sandra Lindstedt
  • Malin Malmsjö

Summary, in English

PURPOSE: The aim of this study was to investigate how the blood perfusion in human upper eyelid skin flaps is affected by the length of the flap and the degree of stretching and rotation of the flap.

METHODS: Twenty-nine upper eyelids were dissected as part of a blepharoplastic procedure in patients. The 1-cm wide proximal end of the flap remains attached, to mimic a random pattern skin flap (hereafter called a "skin flap"). Blood perfusion was measured with laser speckle contrast imaging before and after the flap was stretched with forces of 0.5, 1, and 2 N. The flap was then rotated 90°, and the same tensions were applied.

RESULTS: Blood perfusion decreased gradually from the base to the tip of the flap. The flap was only well perfused in the proximal 1 cm (60% at 0.5 cm and 37% at 1.0 cm) and was minimally perfused beyond 2 cm (22% at 2.0 cm). Stretching the nonrotated flaps affected perfusion slightly (decreased to 43% at 0.5 cm). Simply rotating the flaps by 90° had no significant effect on the perfusion. The combination of rotation (90°) and stretching reduced the perfusion to 22% at 2 N, when measured 0.5 cm from the base.

CONCLUSIONS: Blood perfusion in upper eyelid skin flaps decreases rapidly with distance from the base of the flap. Rotating and stretching the skin flap reduces blood perfusion even further, leading to minimal perfusion in this kind of flap at distances greater than 1.5 cm from the base.

Department/s

  • Ophthalmology Imaging Research Group
  • Ophthalmology, Lund
  • Clinical and experimental lung transplantation
  • WCMM-Wallenberg Centre for Molecular Medicine
  • StemTherapy: National Initiative on Stem Cells for Regenerative Therapy
  • Lung Bioengineering and Regeneration
  • NPWT technology
  • DCD transplantation of lungs
  • Thoracic Surgery

Publishing year

2020-09

Language

English

Pages

481-484

Publication/Series

Ophthalmic Plastic and Reconstructive Surgery

Volume

36

Issue

5

Document type

Journal article

Publisher

Lippincott Williams & Wilkins

Topic

  • Ophthalmology

Status

Published

Research group

  • Ophthalmology Imaging Research Group
  • Clinical and experimental lung transplantation
  • Lung Bioengineering and Regeneration
  • NPWT technology
  • DCD transplantation of lungs

ISBN/ISSN/Other

  • ISSN: 1537-2677