Eyelid Reconstruction

Alghoul, Mohammed S.; Pacella, Salvatore J.; McClellan, W. Thomas; Codner, Mark A.

doi:10.1097/prs.0b013e3182958e6b

Cited by 68 publications

(55 citation statements)

References 42 publications

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“…The vascular pedicle appeared to have been preserved and a right forehead flap was mapped out. This forehead flap, based on the right supratrochlear artery and vein, was elevated initially in a subfollicular plane and a subgaleal plane (15,16). The flap was transposed 90° into the defect of the right lower forehead, eyebrow and upper lid and fixed in place with 4-0 vicryl and 5-0 nylon sutures.…”

Section: Results Reconstructionmentioning

confidence: 99%

The Temporalis Muscle Flap: A Useful Adjunct in Reconstruction of Combined Defects of the Upper and Lower Eyelids

Haykal

Antonyshyn

Gill

2015

Plastic Surgery Case Studies

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R econstruction of complex eyelid defects presents a challenge. Composite defects that involve both the upper and the lower eyelid, or that extend deeply to involve the lateral canthus and the bony orbit, are particularly difficult to repair. Under these circumstances, the temporalis muscle flap provides vascularized tissue, which can be used in restoring structural support to the lid complex.The temporalis region provides several regional flaps. The temporalis muscle is a type III (Mathes and Nahai classification) fan-shaped muscle with its origin in the temporal fossa. It receives its blood supply from the anterior and posterior deep temporal arteries, which are branches of the internal maxillary artery. These course between the muscle and the periosteum, allowing for subperiosteal elevation. Resection of the zygomatic arch and the coronoid process of the mandible (1) can increase its reach. The presence of two independent vascular territories enables separate use of the temporalis fascia or muscle in the elevation of regional flaps, making it very versatile in head and neck reconstruction (1). It has been described for isolated upper eyelid defects (2-4) and orbital reconstruction (5-12). BACKGrounD: Eyelid reconstruction following oncological resection remains a challenge. Multiple techniques have been described for isolated upper or lower eyelid defects. oBJECTIvE: To describe the use of the temporalis flap for reconstruction of an eyelid defect involving both the upper and lower eyelids. METHoDs: Excision of a basal cell carcinoma was performed. This resulted in full-thickness defects of the upper and lower eyelids, the lateral canthus including upper and lower canthal tendons, the upper right midface, temple, lateral two-thirds of the eyebrow and forehead. The tumour was found to be adherent to bone and dissecting deeply into the lateral orbital cavity as well as along the orbital roof. rEsuLTs: The lateral orbital rim was reconstructed using the pre-bent titanium mesh implant. A temporalis muscle flap allowed for draping over the reconstructed orbital rim and to provide reconstruction of the tarsal plates of the upper and lower eyelids. The remaining large cutaneous defect, which involved more than half of the lower eyelid, was reconstructed using a large Mustarde cervical facial rotation flap. ConCLusIons: The temporalis muscle flap provides abundant well vascularized tissue and has been described for head and neck reconstruction. A novel technique allows reconstruction of both the upper and lower eyelids using the temporalis muscle in combination with local flaps.

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Section: Results Reconstructionmentioning

confidence: 99%

The Temporalis Muscle Flap: A Useful Adjunct in Reconstruction of Combined Defects of the Upper and Lower Eyelids

Haykal

Antonyshyn

Gill

2015

Plastic Surgery Case Studies

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“…Eyelids have very thin mobile tissue that requires special consideration during reconstruction in order to maintain function as well as appearance. Preoperative findings that may indicate the need for multidisciplinary care include malpositioning of the eyelids (e.g., preexisting ectropion, and significant scleral show beneath the iris), inability of the patient to open and close the eyes well, medial canthal location of the tumor, large size or marginal involvement of the tumor, diplopia, or tearing [33,34].…”

Section: Periocular Tumorsmentioning

confidence: 98%

Interdisciplinary Surgical Management of Skin Cancer: the Saint Louis University Experience

et al. 2015

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While the vast majority of skin cancers can be managed by a single practitioner in the outpatient setting, there is a subset of complex skin cancers that benefit from multidisciplinary care. At our institution, we have built strong collegial relationships with allied specialties such as surgical oncology, otolaryngology-head and neck surgery, plastic surgery, facial plastic surgery, and oculoplastic surgery. It is common for patients with high-risk or complex tumors to be seen preoperatively by several allied specialties. This allows for care coordination and more seamless care in addition to fostering skin cancer expertise within our collaborators in allied specialties.

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“…The challenges of eyelid reconstruction following the excision of the eyelid cancer are due to the anatomy and localization of the lesion. In a study performed by Souza et al [12], the reconstruction of eyelid cancer has resulted loss of eyelid function, and a revision surgery is often required to improve eyelid structure and function [13,14].…”

Section: Discussionmentioning

confidence: 99%

Non-Invasive Treatment of Extensive Eyelid Cancerous Lesion by Photodynamic Therapy: A Case Report

Sálvio¹,

Blanco²

2015

IPJARS

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Eyelid Reconstruction

Cited by 68 publications

References 42 publications

The Temporalis Muscle Flap: A Useful Adjunct in Reconstruction of Combined Defects of the Upper and Lower Eyelids

The Temporalis Muscle Flap: A Useful Adjunct in Reconstruction of Combined Defects of the Upper and Lower Eyelids

Interdisciplinary Surgical Management of Skin Cancer: the Saint Louis University Experience

Non-Invasive Treatment of Extensive Eyelid Cancerous Lesion by Photodynamic Therapy: A Case Report

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