Full-thickness reconstruction of the eyelid with rotation flap based on orbicularis oculi muscle and palatal mucosal graft: Long-term results in 12 cases

Miyamoto, Junpei; Nakajima, Tatsuo; Nagasao, Tomohisa; Konno, Eri; Okabe, Keisuke; Tanaka, Taisaku; Fujii, Shun; Kobayashi, Hisashi

doi:10.1016/j.bjps.2008.05.040

Cited by 43 publications

(28 citation statements)

References 16 publications

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“…55 According to some authors, mucous membrane harvested from the palate together with the stroma resembles histologically the tarsoconjunctival component. 56,57 Regardless of the applied method for eyelid reconstruction, it is the oncological effectiveness that decides the final outcome of therapy. As mentioned before, recurrences of the tumor in primarily treated patients occur in the range of 7% to 12% of cases.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Eyelid Tumors

Wójcicki

Zachara²

2010

Journal of Craniofacial Surgery

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Tumors, usually basal cell carcinoma, originate mainly in the lower eyelid and medial canthus. Surgery should be performed as soon as possible after onset of the primary tumors and should include resection and reconstructive therapy. The highest risk of recurrence is in case of squamous cell and basospinocellular tumors, and especially in melanoma. The aim of reconstructive therapy is to reconstruct aesthetically and functionally effective eyelid.

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Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Eyelid Tumors

Wójcicki

Zachara²

2010

Journal of Craniofacial Surgery

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“…In the literature, a number of procedures for lower lid reconstructions are reported [1,3,4,5,6,7,8,9,10,11,12,13]. We used a semicircular flap or simple lateral advancement flap in 31 cases, and we obtained total success in all cases.…”

Section: Discussionmentioning

confidence: 99%

“…In general, we prefer the use of palatal mucosal grafts (fig. 3) due to their intrinsic stiffness that helps maintaining a lower lid position [4,5,6]. The nasal mucosa, though histologically more similar to the conjunctiva, is more delicate and does not contribute to lid suspension.…”

Section: Discussionmentioning

confidence: 99%

“…The availability of surrounding tissues is scarce for upper lid reconstructions; therefore, reconstructions of the upper lid are rarely reported in the literature and they may sometimes require technically demanding flaps [1,2]. Conversely, a number of techniques have been described to reconstruct defects involving the lower lid [3,4,5,6,7,8,9]. …”

Section: Introductionmentioning

confidence: 99%

“…When dealing with larger defects, strategies can largely vary and the most appropriate reconstruction technique has to be chosen among the numerous ones available in the literature [1,3,4,5,6,7,8,9,10,11]. …”

Section: Introductionmentioning

confidence: 99%

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Partial and Total Lower Lid Reconstruction: Our Experience with 41 Cases

Fogagnolo

Colletti²,

Valassina³

et al. 2012

Ophthalmologica

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Purpose: To report our experience on lid reconstruction in patients with epitheliomas. Methods: A total of 41 consecutive patients affected by basal cell (n = 32) or squamous cell carcinoma (n = 9) underwent partial (n = 35) or total (n = 6) surgical demolition of the lower lid. Surgical defects <25% (n = 10) received direct closure. If the defect involved 30–60% of the eyelid (n = 21), a Tenzel semicircular flap or lateral advancement flap with a free mucosal graft was used. If the entire lid or a major part of the outer lamella had to be reconstructed (n = 10), a cheek advancement flap was used, with a free mucosal graft if the posterior lamella was involved. The success rates and the cosmetic and functional results were evaluated. Results: All 21 flaps used for partial reconstruction remained viable, whereas 1 of the 10 cheek flaps developed partial distal necrosis. Of the 27 mucosal grafts, 2 had to be removed for total necrosis, and 2 developed partial necrosis. In all cases, normal lid function and acceptable cosmetic results were obtained. Complications occurring in 4 cases (1 ectropion and 3 epiphora) were successfully managed with appropriate surgical procedures. Conclusions: Local flaps are the gold standard for lower lid reconstruction as they are highly reliable and guarantee optimal results. The technical details described in this study can help in achieving such results.

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Exposure Keratopathy Due to Absent or Avulsed Eyelids

Soeharko

Siswoyo

2016

Emergencies of the Orbit and Adnexa

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Full-thickness reconstruction of the eyelid with rotation flap based on orbicularis oculi muscle and palatal mucosal graft: Long-term results in 12 cases

Cited by 43 publications

References 16 publications

Surgical Treatment of Eyelid Tumors

Surgical Treatment of Eyelid Tumors

Partial and Total Lower Lid Reconstruction: Our Experience with 41 Cases

Exposure Keratopathy Due to Absent or Avulsed Eyelids

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