Summary
Background
The technique chosen to reconstruct anterior lamellar defects of the upper eyelid
requires careful consideration. We modified pre-existing techniques used to reconstruct
anterior lamellar defects after tumour resection and have called this procedure a
hemi-orbicularis oculi switch flap.
Methods
This musculocutaneous flap is elevated with underlying orbicularis and its base abuts
the anterior lamellar defect. The flap, which is half the height of the defect, is
elevated and inset to cover the defect. Then, taking into consideration the extensibility
of upper eyelid skin, the remainder of the defect and the donor site are closed directly.
Results
Five patients with basal cell carcinoma, haemangioma, and xanthoma of the upper eyelid
were treated by this method. All flaps survived and complications were minimal. Aesthetically
and functionally good results were obtained by this method.
Conclusions
We have developed a surgical method for the reconstruction of anterior lamellar defects
of the upper eyelid. The proposed method is technically simple and safe and provides
consistent results for a potentially wide variety of upper eyelid tumours.
Keywords
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Article info
Publication history
Published online: January 27, 2007
Accepted:
November 20,
2006
Received:
April 22,
2006
Identification
Copyright
© 2006 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Corrigendum to: Hemi-orbicularis oculi switch flap for upper eyelid defects, JPRAS 2007, Vol. 60(6), pp. 655–658Journal of Plastic, Reconstructive & Aesthetic SurgeryVol. 60Issue 11
