Victor Hugo Grano-Gonzalez, Victor Gibran Reyes-Garcia, Jose Luis Villarreal-Salgado, Gustavo Emmanuel Garcia-Marin, Damaris Estefania Navarro-Nuno, Marcela Rojas-Hurtado, Jesus Alonso Arellano-Larios and Quitzia Libertad Torres-Salazar*
Falls from height can cause a variety of injuries, often related to factors such as the height of the fall, substance use and body position, with the head and spine being among the areas most prone to impact. Healing is an essential physiological process for skin recovery, but can be affected by a variety of factors, including the type of injury and individual patient characteristics. Sometimes this process can lead to the formation of retractable scars, which become problematic when they cause functional or aesthetic discomfort. We present the case of a 42-year-old patient who suffered a fall from a pedestrian bridge while under the influence of alcohol. The patient was immediately treated in an emergency department and closure of a cut wound in the right frontal region was performed, which eventually developed skin necrosis in the wound. As a result of the retractile scar on the right eyelid due to closure of the necrotic skin area in the region, she was referred to the plastic and reconstructive surgery service for the presence of lagophthalmos and dry eye syndrome. The surgery included a zetaplasty on the retractable scar of the right eyelid and placement of a full-thickness skin graft of the contralateral eyelid. Eight months after surgery, no signs of eyelid retraction or symptoms of lagophthalmos or dry eye syndrome were detected, indicating a successful recovery with normal eyelid position and mobility.
