Lower eyelid reconstruction in a paediatric face: A one-stage aesthetic approach using the versatile temporoparietal fascia flap

Hocaoğlu, Emre; Ozden, Burcu; Aydın, Hülya

doi:10.1016/j.bjps.2012.02.025

Cited by 11 publications

(8 citation statements)

References 8 publications

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“…As mentioned, its pliable contour, wide rotation arc, and scaffold reliability make it a good alternative to a free flap [ 3 - 5 ]. Also, low donor site morbidity is one of its advantages [ 8 ]. Thus, the TPFF is widely used in head and neck reconstruction including hair-bearing tissue transfer, auricular defect, laryngectomy, skull base reconstruction, and periorbital reconstruction.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of a total defect of the lower eyelid with a temporoparietal fascial flap: a case report

Kim

Lee

Roh

et al. 2022

Arch Craniofac Surg

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The reconstruction of total lower eyelid defects is challenging to plastic surgeons due to the complicated anatomical structure of the eyelid. In addition, in the setting of cancer excision, the resection is deep, which requires some volume augmentation. However, in some cases, free tissue transfer is not applicable. We report a case of using a temporoparietal fascia flap (TPFF) for reconstructing a total lower eyelid defect. A large erythematous mass in an 83-year-old woman was diagnosed as squamous cell carcinoma by biopsy. After wide excision, the defect size was about 8× 6 cm. The lower eyelid structures including the tarsus were removed. The TPFF including the superficial temporal artery was elevated and inset to the defect area. After the flap inset, a split-thickness skin graft with an acellular dermal matrix was performed on the fascial flap. There were no wound problems such as infection, dehiscence, or necrosis. After the patient’s discharge, partial skin graft loss and ectropion occurred. The complications resolved spontaneously during the postoperative period. We report a case of reconstructing a lower eyelid defect using a TPFF. A TPFF can be applied to patients with large defects for whom free tissue transfer surgery is not appropriate as in this case.

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Section: Discussionmentioning

confidence: 99%

Reconstruction of a total defect of the lower eyelid with a temporoparietal fascial flap: a case report

Kim

Lee

Roh

et al. 2022

Arch Craniofac Surg

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show abstract

“…Reconstruction of a lower-eyelid defect can be undertaken with a versatile temporoparietal fascia flap ( 10 ). Even though the flap is more suitable to the young patients, the eyelid margin is often scarred with the loss of lashes.…”

Section: Discussionmentioning

confidence: 99%

Case report: Lower eyelid Reconstruction with the rotation flap pedicled by orbicularis oculi muscle

2022

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BackgroundLoss of eyelid tissue can be caused by trauma, congenital defects or tumors. Eyelid reconstruction is complicated and challengingly difficult because of the complex anatomy of the eyelid. Several types of surgical procedures for the reconstruction of eyelid defects are available.ObjectiveTo describe reconstruction of lower-eyelid defects using a rotation flap pedicled by the orbicularis oculi.MethodsFourteen patients (mean age = 67 years old; ages range of 53–86 years old) who suffered from tumor excision from the lower eyelid were treated by the method.ResultsThe mean duration of follow-up was 14 (range, 12–16) months. Ectropion, abnormal eyelid position and donor-site morbidity were not observed during follow-up.ConclusionA rotation flap pedicled by the orbicularis oculi can be a good choice for single-stage reconstruction of lower-eyelid defects.

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“…As a result, it is possible to provide an aesthetic result that causes no donor scar in an observable region. [20]…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of periorbital region defects: A retrospective study

Yüce¹,

Demir²,

Selçuk³

et al. 2014

Ann Maxillofac Surg

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Background:Although the periorbital region forms less than 1% of the total body surface, it has a very complex anatomy; therefore, it requires a detailed approach. In this work, we aim to present the clinical applications and related literature for the algorithm of the technique which will be applied, according to the location of the defect, in choosing the surgery treatment method. Factors affecting the results and different treatment methods of the anatomical region, including its difficult reconstruction, will also be included.Materials and Methods:A review of 177 periorbital region defect reconstructions was performed.Results:As a treatment method, in 76 (43%) patients primary closure was chosen, 39 (22%) patients had grafts and in 62 (35%) patients a flap was chosen as a treatment alternative. With respect to postoperative complications, there were a total of 6 (3.38%) patients observed with venous congestion. In 11 (6.21%) patients ectropion developed, in 1 (0.56%) patient minimal space between the eyelids while monitoring recovery was observed and in 1 (0.56%) patient, flap loss was observed due to a circulatory disorder.Conclusions:The aim of reconstruction is to repair the defect suitable to normal physiological and anatomical values. As a result, before the surgical treatments in this difficult anatomical region, the defect width and anatomical localization must be evaluated. The most suitable reconstruction method must be identified, using an evaluation of the algorithm and the required functional and esthetical results can be obtained with intraoperative flexible behavior and a change of method, when necessary.

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Lower eyelid reconstruction in a paediatric face: A one-stage aesthetic approach using the versatile temporoparietal fascia flap

Cited by 11 publications

References 8 publications

Reconstruction of a total defect of the lower eyelid with a temporoparietal fascial flap: a case report

Reconstruction of a total defect of the lower eyelid with a temporoparietal fascial flap: a case report

Case report: Lower eyelid Reconstruction with the rotation flap pedicled by orbicularis oculi muscle

Reconstruction of periorbital region defects: A retrospective study

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