We performed reconstruction with a composite radial forearm palmaris longus tendon flap in patients with wide defects of upper or lower eyelids. In one upper eyelid reconstruction, a palmaris longus tendon was fixed to the frontal muscle to make it possible to open the eye. In the lower eyelid reconstruction, the tendon was fixed to both the medial palpebral ligament and the lateral orbital rim to support the flap. In wide upper and lower eyelid reconstruction with a forearm flap, it is convenient to utilise the palmaris longus tendon to support the flap.
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Published online: June 06, 2006
Accepted: March 12, 2006
Received: January 10, 2006
☆These findings were reported in part at the summer meeting of the British Association of Plastic Surgeons held in Windsor, UK in 2005.
© 2006 The British Association of Plastic Surgeons. Published by Elsevier Inc. All rights reserved.