Evidence map›Paper›PMID 32537044›Full record

ArticleEplasty2020

Eye Comfort and Physiological Reconstruction of an Entire Upper Eyelid Defect.

Yasuhiro Sakata, Katsuya Okuda, Yoshitaka Wada, Shinji Kumegawa, Hirohisa Kusuhara, Noritaka Isogai, Shinichi Asamura

Abstract readCase Reports
In one paragraph

Article in Eplasty, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yasuhiro SakataDepartments of Plastic and Reconstructive Surgery.
Katsuya OkudaOtolaryngology-Head and Neck Surgery, Wakayama Medical University, Wakayama City, Wakayama, Japan.
Yoshitaka WadaDepartments of Plastic and Reconstructive Surgery.
Shinji KumegawaDepartments of Plastic and Reconstructive Surgery.
Hirohisa KusuharaDepartment of Plastic and Reconstructive Surgery, Faculty of Medicine, Kindai University, Osaka City, Osaka, Japan.
Noritaka IsogaiDepartment of Plastic and Reconstructive Surgery, Faculty of Medicine, Kindai University, Osaka City, Osaka, Japan.
Shinichi AsamuraDepartments of Plastic and Reconstructive Surgery.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveReconstruction of an extensive full-thickness upper eyelid defect is challenging. The purpose of this report is to introduce this procedure with emphasis on reconstruction of the eyelid margin to obtain eye comfort.

methodsWe designed a technique using a radial forearm flap for the outer layer to reconstruct the entire eyelid after resection of Merkel cell carcinoma. In additional, the inner layer and the eyelid margin were reconstructed with a buccal mucosal graft and a reverse Hughes flap.

resultsThere has been no recurrence of the tumor, opening and closing functions of the eyelid are maintained, and the patient has not complained of eye discomfort.

conclusionMaintenance of mobility, flexibility, and a good ocular surface in contact with the sensitive cornea are the main foci of upper eyelid reconstruction, with an optimal fissure height and an appropriate contour of the eyelid. In addition, to obtain eye comfort, it is important to protect the cornea without significantly restricting eyelid mobility.

Indexed as

forearm flapfree flapMerkel cell carcinomareconstructionupper eyelid

Identifiers

PMID32537044
PMCPMC7270324

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.