Author(s)

Dembélé Adama^1*, Sidibe Moro¹, Sidibe Oumar¹, Dembele Ahmadou¹, Poma Hachimi Amadou¹, Abdoulaye Konaté², Oumar Diallo², Djonny Jonas Dembele³, Mamadou Adama Togo², Kadiatou Ba Koita², Abdoulaye Nouhoum Coulibaly², Cheick Fantamady Tounkara², Nouhoum Touré², Napo Abdoulaye²

¹Régional Hospital of Sikasso, Sikasso, Mali.
²Alliance for the Development of Community Ophthalmology (ADOC), Bamako, Mali.
³Center Médical Jean Marie Cissé, Sikasso, Mali.

Introduction: Significant trauma to the periocular region can seriously damage ocular structures and their adnexa. The eyelids can be damaged during these traumas. The most frequent lesions are lacerations, the surgical treatment of which is generally simple. In some cases, there are complex traumas where there is a loss of tissue, which is difficult to treat. We report the case of a 26-year-old young man, farmer with no medical and surgical history, referred by the odontostomatology and maxillofacial surgery department for burns to the left hemi face by the exhaust pipe of his motorbike which occurred following a public road accident (AVP). Observation: A 26-year-old young man with no medical-surgical history, visual acuity was 5/10 with good mobility of the globe. In collaboration with the maxillofacial surgeon, a graft of the hemi face was performed using a flap from the inner side of the thigh first. In the second time we carried out a recovery by a flap which consisted in taking a supra-superciliary flap and suturing it at the level of the palpebral edges which, in spite of a fragile vitality of the tissues. Conclusion: The reconstruction of the eyelid is a real problem in our service because of the technical platform and the availability of consumables, which limits us in the choice of the operating technique.

Road Accident, Hemi-Face Burn, Eyelid Reconstruction

Adama, D. , Moro, S. , Oumar, S. , Ahmadou, D. , Amadou, P. , Konaté, A. , Diallo, O. , Dembele, D. , Togo, M. , Koita, K. , Coulibaly, A. , Tounkara, C. , Touré, N. and Abdoulaye, N. (2023) Palpebral Reconstruction in a Secondary Ophthalmology Center in Mali: About a Case. Surgical Science, 14, 97-103. doi: 10.4236/ss.2023.142013.