Case Report| Volume 65, ISSUE 1, P110-113, January 2012

Total lower eyelid reconstruction with superficial temporal fascia flap and porous polyethylene implant: A case report


      Total reconstruction of the eyelid after serious periorbital injury is a challenging procedure for plastic and reconstructive surgery. Although several methods have been used for reconstructing the eyelids, such as advancement flap with fascia lata sling, island mucochrondrocutaneous flap, prefabricated temporal island flap, porous polyethylene and superficial temporal fascia flap, creating a supportive eyelid for housing an artificial eye without complication is still an ongoing problem.
      In the case presented, superficial temporal fascia flap with porous polyethylene was used for the reconstruction of total lower eyelid.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Plastic, Reconstructive & Aesthetic Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Quian J.G.
        • Wang X.J.
        • Wu Y.
        Severe cicatrical ectropion: Repair with a large advancement flap and autologous fascia sling.
        J Plast Reconstruct Aesthet Surg. 2006; 59: 878-881
        • Porfiris E.
        • Georgiou P.
        • Harkiolakis G.
        • Popa C.V.
        • Sandris P.
        • Sgouras N.
        Island mucochrondrocutaneous flap for reconstruction of total loss of the lower eyelids.
        Plast Reconstr Surg. 1997; 100: 104-107
        • Altındas M.
        • Yucel A.
        • Ozturk G.
        • Sarac M.
        • Kilic A.
        The prefabricated temporal island flap for eyelid and eye socket reconstruction in total orbital exenteration patients, a New method.
        Ann Plast Surg. 2010; 65: 177-182
        • Tan J.
        • Olver J.
        • Wright M.
        • Maini R.
        • Neoh C.
        • Dickinson A.J.
        The use of porous polyethylene (Medpor) lower eyelid spacers in lid heightening and stabilisation.
        Br J Ophthalmol. 2004; 88: 1197-1200
        • Mavrikakis I.
        • Francis N.
        • Poitelea C.
        • Parkin B.
        • Brittain P.
        • Olver J.
        Medpor® lower eyelid spacer: does it Biointegrate?.
        Orbit. 2009; 28: 58-62
        • Ellis D.S.
        • Toth B.A.
        • Stewart W.B.
        Temporoparietal fascial flap for orbital and eyelid reconstruction.
        Plast Reconstr Surg. 1992; 89: 606-612
        • Zhao Y.
        • Wang Y.
        • Zhuang H.
        • Jiang H.
        • Jiang W.
        • Hu X.
        • et al.
        Clinical evaluation of three total ear reconstruction methods.
        J Plast Reconstruct Aesthet Surg. 2009; 62: 1550-1554
        • Ozturk S.
        • Sengezer M.
        • Zor F.
        Reconstruction of acquired partial auricular defects by porous polyethylene implant and temporoparietal fascia flap in adult patients.
        Plast Reconstr Surg. 2006; 118: 1349-1357
        • Ozturk S.
        • Sengezer M.
        • Isik S.
        • Turegun M.
        • Deveci M.
        • Cil Y.
        Long-term outcomes of ultra-thin porous polyethylene implants used for reconstruction of orbital floor defects.
        J Craniofac Surg. 2005; 16: 973-977
        • Basterzi Y.
        • Sari A.
        • Sari A.
        Surgical treatment of an exposed orbital implant with vascularized superficial temporal fascia flap.
        J Craniofac Surg. 2009; 20: 502-504