Correction of a deep superior sulcus with dermis-fat implantation

Area of Science:

• Ophthalmology
• Plastic Surgery
• Reconstructive Surgery

Background:

• Deep superior sulcus deformities can impact orbital aesthetics and function.
• Surgical correction often involves restoring orbital volume and contour.

Observation:

• Five patients with deep superior sulcus deformities underwent dermis-fat grafting into the preaponeurotic space.
• Three patients had anophthalmic sockets, and two had normal seeing eyes.
• Grafts were sourced from the left lower abdominal quadrant and donor sites were closed primarily.

Findings:

• All five patients demonstrated improvement in their deformities post-surgery.
• One anophthalmic patient experienced mild postoperative ptosis.
• No evidence of fat graft absorption was noted during follow-up exceeding one year.

Implications:

• Dermis-fat grafting is a viable and stable option for correcting deep superior sulcus deformities.
• This technique offers aesthetic and potentially functional improvements in orbital reconstruction.
• Further studies may explore long-term outcomes and management of potential complications like ptosis.