Summary
There are many different lower eyelid reconstruction techniques defined in the literature.
Almost all of the published techniques have been described on elderly patients and
use upper eyelid, periorbital or facial tissues as donor sites. However, in case of
a paediatric patient or a young adult who has a crease-free and scarless face, camouflage
of the facial donor-site scar is usually impossible. In order to avoid possible facial
donor-site scars and upper eyelid deformities, a technique which uses the temporoparietal
fascia (TPF) flap as the framework of a new eyelid was used for the reconstruction
of an adolescent patient's postoncologic defect. The inner side of the flap was covered
with nasal septal chondromucosal graft and the external side was covered with a retroauricular
full-thickness skin graft. Eighteen months of unproblematic follow-up of this overlooked
usage of the versatile TPF flap indicates that our technique has proved successful
in terms of good functional and cosmetic outcome that is obtained at one stage.
Keywords
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 accessOne-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:
Subscribe to Journal of Plastic, Reconstructive & Aesthetic SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Full-thickness reconstruction of the eyelid with rotation flap based on orbicularis oculi muscle and palatal mucosal graft: long-term results in 12 cases.J Plast Reconstr Aesthet Surg. 2009; 62: 1389-1394
- Reconstruction of periorbital defects following malignant tumour excision: a report of 50 cases.J Plast Reconstr Aesthet Surg. 2011; https://doi.org/10.1016/j.bjps.2011.09.012
- Reconstruction of the periorbital adnexa.in: 2nd ed. Plastic surgery. vol. 3. Elsevier Health Sciences, 2006: 733-762
- Using bipedicled myocutaneous tripier flap to correct ectropion after excision of lower eyelid basal cell carcinoma.J Craniofac Surg. 2011; 22: 606-608
- Cheek and eyelid reconstruction: the resurrection of the angle rotation flap.Plast Reconstr Surg. 2005; 116: 1425-1430
- Temporoparietal fascial flap in orbital reconstruction.Arch Facial Plast Surg. 2000; 2: 196-201
- Complications of tarsoconjunctival grafts.Ophthal Plast Reconstr Surg. 1996; 12: 45-50
- The versatility of the temporoparietal fascia flap in head and neck reconstruction.J Plast Reconstr Aesthet Surg. 2012; 65: 141-148
- 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
- Total lower eyelid reconstruction with superficial temporal fascia flap and porous polyethylene implant: a case report.J Plast Reconstr Aesthet Surg. 2012 Jan; 65: 110-113
Article info
Publication history
Published online: March 29, 2012
Accepted:
February 29,
2012
Received:
December 23,
2011
Footnotes
☆This article was presented partially at the 33rd National Plastic, Reconstructive and Aesthetic Surgery Congress, Izmir, Turkey, 2011.
Identification
Copyright
© 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
