Histology of partial thickness double composite eyelid graft.

Daniel Albert // Publications // May 01 1989

PubMed ID: 2726153

Author(s): Budenz DL, Beyer-Machule CK, Albert DM. Histology of partial thickness double composite eyelid graft. Ophthalmic Surg. 1989 May;20(5):362-6. PMID 2726153

Journal: Ophthalmic Surgery, Volume 20, Issue 5, May 1989

Double composite grafting is a technique used in the repair of large (greater than 75%) eyelid defects due to tumor resection, trauma, or congenital coloboma. The procedure utilizes two partial thickness composite grafts derived from two unaffected lids. The skin defect is covered by a pedicle skin graft to provide an adequate blood supply. This is thought to be superior to revascularization occurring from the margin of the graft alone. We examined histologically the lid margins of two such grafts 2 and 9 months postoperatively. Each demonstrated scarred tarsus and absent meibomian glands. One of the two grafts had loss of cilia. The architecture of the graft tissue otherwise was preserved.