Orbicularis Oculi Myocutaneous Advancement Flap for Upper Eyelid Reconstruction

Demir, Zühtü; Yüce, Serdar; Karamürsel, Sebat; Çelebi̇oğlu, Seli̇m

doi:10.1097/01.prs.0000297649.71049.ae

Cited by 34 publications

(19 citation statements)

References 24 publications

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“…These are constituted by branches of supraorbital, superficial temporal, angular, and transverse facial arteries. 3,7,[17][18][19] Because of its abundant blood supply, a flap with a higher length-to-breadth ratio can be raised to cover areas up to a distance of 4 cm with a medial pedicel. 15 The adequate blood supply also allows 180 degrees of rotation safely.…”

Section: Discussionmentioning

confidence: 99%

Orbicularis Oculi Myocutaneous Flap for Upper Cicatricial Ectropion

Wang

2016

Journal of Craniofacial Surgery

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The correction of cicatricial ectropion often presents a challenge to plastic surgeons because of the difficulty obtaining tissue of similar color and texture and producing minor morbidity to donor sites. The authors present the correction of upper cicatricial ectropion by rotating the orbicularis myocutaneous flap from the same lid. From April 2008 to March 2014, 8 consecutive patients with upper cicatricial ectropion underwent transfer of orbicularis oculi myocutaneous flap. The main outcome measures included the complications, recurrence, and cosmesis. All flaps were viable with partial recurrence observed in 1 severe case. Satisfactory function and cosmesis were obtained in the evaluation of the patients during the follow-up period with a 4- to 41-month range. The redundant flap which should be excised during the blepharoplasty can be used to correct upper cicatricial ectropion. Good results can be obtained because of the well-hidden incision scar and minor donor-site morbidity.

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Section: Discussionmentioning

confidence: 99%

Orbicularis Oculi Myocutaneous Flap for Upper Cicatricial Ectropion

Wang

2016

Journal of Craniofacial Surgery

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“…1e3 In fact, it was not until 1997 that Okada et al described for the first time a VeY horizontal myotarsocutaneous flap for reconstruction of the upper eyelid in a patient with an eyelid tumour. Subsequently, other authors have described the use of vertical VeY myocutaneous flaps for upper eyelid reconstruction after oncological surgery 5,17 and reported a good functional and aesthetic outcome in all patients.…”

Section: Discussionmentioning

confidence: 99%

“…These options frequently fail to achieve an excellent cosmetic outcome as the thin and mobile skin of the upper eyelid is substantially different from that encountered in other body areas. Moreover, the relative scarcity of redundant tissue in the abutting regions of the upper eyelid can make mobilisation of significant amounts of tissue into this area a significant challenge 5 and often demands a two-step reconstructive procedure. 1 In recent times, several authors have emphasised the use of several flaps intrinsic to the upper eyelid 6e10 so as to circumvent these problems.…”

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confidence: 99%

Upper eyelid reconstruction with a horizontal V–Y myotarsocutaneous advancement flap

Rosa

Casal

Moniz

2010

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Summary Upper eyelid tumours, particularly basal cell carcinomas, are relatively frequent. Surgical ablation of these lesions creates defects of variable complexity. Although several options are available for lower eyelid reconstruction, fewer surgical alternatives exist for upper eyelid reconstruction. Large defects of this region are usually reconstructed with two-step procedures. In 1997, Okada et al. described a horizontal VeY myotarsocutaneous advancement flap for reconstruction of a large upper eyelid defect in a single operative time. However, no further studies were published regarding the use of this particular flap in upper eyelid reconstruction. In addition, this flap is not described in most plastic surgery textbooks.The authors report here their experience of 16 cases of horizontal VeY myotarsocutaneous advancement flaps used to reconstruct full-thickness defects of the upper eyelid after tumour excision. The tumour histological types were as follows: 12 basal cell carcinomas, 2 cases of squamous cell carcinomas, 1 case of sebaceous cell carcinoma and 1 of malignant melanoma.This technique allowed closure of defects of up to 60% of the eyelid width. None of the flaps suffered necrosis. The mean operative time was 30 min. No additional procedures were necessary as good functional and cosmetic results were achieved in all cases. No recurrences were noted.In this series, the horizontal VeY myotarsocutaneous advancement flap proved to be a technically simple, reliable and expeditious option for reconstruction of full-thickness upper eyelid defects (as wide as 60% of the eyelid width) in a single operative procedure. In the future this technique may become the preferential option for such defects.

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“…26 Nevertheless, hard palate grafts continue to be used in upper eyelid repair and have been covered with bipedicle myocutaneous flaps from the upper lid, 27 and a V-Y flap from the upper lid tissue superior to the defect. 28 A suprabrow Fricke flap has been added to repair the donor site of the bipedicle flap. 27 Turbinate nasal mucosa has mucous secreting goblet cells and can be harvested in large quantity.…”

Section: ' Posterior Lamella Free Graftingmentioning

confidence: 99%