The Use of Synthetic Dermal Matrix in Lower Eyelid Reconstruction: Our Surgical Management and a Bibliometric and Visual Analysis

Eyelid defects, particularly those affecting the medial canthus, present intricate challenges for reconstructive surgeons due to the complex anatomy and functional significance of the region. This article presents our management of an 87-year-old patient with medial canthal basal cell carcinoma, highlighting the successful management of such defects through a single-stage reconstruction technique involving a skin graft supported by a synthetic dermal matrix (MatriDerm). The utilization of this approach resulted in favorable outcomes, including clear margins on histological examination and stable esthetic results at 1-year follow-up, emphasizing its efficacy in addressing medial canthal defects secondary to basal cell carcinoma excision. In addition, this study integrates a bibliometric analysis to provide insights into the current research landscape surrounding eyelid reconstruction techniques with the support of dermal matrices. The analysis reveals several trends such as the concentration of research activity in countries like the United States and China, along with key authors and journals contributing to the field. These findings offer valuable guidance for future research endeavors and highlight the global interest in advancing eyelid reconstruction procedures. While this study provides significant insights, it is important to acknowledge its limitations, such as the reliance on a single-day database search and the exclusion of additional databases as potential sources. Future research should have as a goal addressing these limitations and exploring additional routes for a comprehensive literature review. In conclusion, the combination of our described approach and bibliometric analyses offers a comprehensive understanding of eyelid reconstruction, providing valuable insights for clinicians and researchers alike. Sustained collaboration and innovation in this field are essential for further improving surgical techniques and enhancing patient outcomes in reconstructive surgery. Through the synthesis of quantitative data and visualization of network structures, this study contributes to evidence-based practice and guides future research endeavors in eyelid reconstruction.