Advancement flap for anterior lamellar reconstruction of the upper eyelid

Corredor-Osorio, Rafael; Buitrago-Corredor, Vanessa Gabriela

doi:10.3205/oc000097

Cited by 1 publication

(1 citation statement)

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“…This technique is helpful for those defects located between the eyelid crease and the lid margin, and it minimizes the risk of necrosis due to good vascular supply in highly vascularized areas. [12] After a few follow-ups on our patient, we found minimal graft and flap complications. The tarsoconjunctival graft might cause the corneal abrasion, but it was resolved quickly with antibiotic eye ointment.…”

Section: Discussionmentioning

confidence: 49%

Reconstruction of a Traumatic Large Upper Eyelid Avulsion with Tarsoconjunctival Graft and Rotational Flap: A Surgeon’s Preference

Fariz

Sutjipto

2023

VSEHJ

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Introduction: Large, full-thickness upper eyelid defects management presents a thorough and challenging approach due to the multilaminar character of the eyelid and its dynamic function. The Cutler-Beard flap method has been the mainstay management, but posterior lamellar graft usage with recent modifications may reduce complications. Case Presentation: A 43-year-old man presented to the emergency ward after a traffic accident left him with a full-thickness laceration on his left upper eyelid and an approximately 60% avulsion on the one-third medial of the eyelid. Traumatic ptosis was also found. After considering the large size of the affected area and the probability of faster wound healing, a free graft from the tarsus and conjunctival eyelid of his fellow eye was harvested to replace the posterior lamellar of the affected eye and closed the defect with a rotational skin flap from the remaining of the left upper eyelid. Conclusions: This technique could be one of the alternatives to the more common cutler-beard flap with mild complications. However, temporary visual obstruction cannot be avoided due to the traumatic ptosis complication of this patient.

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Section: Discussionmentioning

confidence: 49%