Eyelid repair with subcutaneous pedicle flaps

* BACKGROUND AND OBJECTIVE: Full thickness reconstruction of more than half of an eyelid, mainly of the upper one, is a challenge for the surgeon. In 1992, for the first time, the authors reported the use of an axial chondro-mucosal flap from the nose for reconstruction of the tarsoconjunctival plane of a full thickness defect of an eyelid. This article reports and discusses the results of the follow-up of 1 8 patients operated on using the above technique during the period June 1991-March 1997. * PATIENTS AND METHODS: Apart from the oncological evaluation, the following parameters were assessed: position, closure, the presence of epiphora, length of the palpebrai rim, rim opening, levator function, an aesthetic balance of the eyelids, and donor site morbidity. The follow-up ranged from 6 to 40 months. * RESULTS: The axial chondro-mucosal flap was clinically viable in all patients. One patient showed a 2 mm lagophthalmos. Static parameters were within normal ranges. In upper eyelid reconstruction, an 8 to 18 mm. levator function (mean 13 mm) was shown. * CONCLUSION: The authors discuss their complications and results and feel that this flap, associated with full thickness skin grafts, may be considered a first choice technique, in expert hands, in complex full thickness upper eyelid reconstruction, and a possible alternative in lower eyelid reconstruction, for wide defects when the use of other flaps is compromised. [Ophthalmic Surg Lasers 1999;30:91-97.]

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Clinical Use of a New Axial Chondro-mucosal Flap in Wide Full-thickness Eyelid Reconstructions

Scuderi¹,

Rubino²,

Bertozzi³

1999

Ophthalmic Surg Lasers Imaging

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Eyelid repair with subcutaneous pedicle flaps

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Clinical Use of a New Axial Chondro-mucosal Flap in Wide Full-thickness Eyelid Reconstructions

Clinical Use of a New Axial Chondro-mucosal Flap in Wide Full-thickness Eyelid Reconstructions

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