Large eyelid defect after excision of malignancies or trauma is difficult to reconstruct due to special structure and function of the eyelid. In this study, we aimed to present the outcomes of subcutaneous pedicled propeller flap for reconstructing the large eyelid defect after excision of malignancies or trauma. A retrospective review of patients diagnosed with eyelid defect due to excision of malignancies or trauma, and undergoing subcutaneous pedicled propeller flap for reconstructing the large eyelid defect, was conducted at our hospital. The clinical data were collected and analyzed. A total of 15 patients were included in the cases series. Nine patients were diagnosed with basal cell carcinoma, 3 patients with epidermoid carcinoma, and 3 patients with trauma. All the defects were successfully covered with this designed flap. There was no flap necrosis in all the cases. No functional problems were observed in all of the cases. At long-term postoperative follow-up, the average score of patients’ satisfaction was good. This subcutaneous pedicled propeller flap is a feasible alternative technique for reconstructing the large eyelid defect after excision of malignancies or trauma. This flap option could avoid the use of free flaps for large defect.

The present study aimed to explore the methods and clinical outcomes of repairing skin defects caused by knee joint trauma with a saphenous flap. Fifteen patients with skin and soft tissue defects after knee joint trauma received saphenous flap transposition, and the rotation axis point of the pedicle and transposition method were modified. The flap was transposed through a “semi-open tunnel” using a subcutaneous tissue pedicle and by parallel “bilobed” flap transposition through an “open tunnel.” The whole flap survived after the surgery in all patients. The pedicle was not bulging, had no “cat’s ear” deformity, and was flattened. The donor site was sutured directly, and the wound healed by primary intention without postoperative complications. When a saphenous flap is applied to repair the knee joint trauma skin defects with small and medium size, by modifying the pedicle transposition method, the flap rotation angle is more flexible, surgery is safer and more reliable, and flap appearance is more optimized.