Reconstruction of Lower Eyelid with Nasolabial Flap for Anterior Lamella and Turnover Flap for Posterior Lamella

Malviya, Vikas Kumar; Goyal, Sakshi; Bansal, Vishal

doi:10.1055/s-0041-1742177

Cited by 7 publications

(5 citation statements)

References 11 publications

(11 reference statements)

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“…K. Yamashita et al [18] and V. Malviya et al [19] analyse various methods of eyelid defects reconstruction, including the use of ear cartilage grafts. Particular attention is paid to high aesthetic effect and reliable support, which is not accompanied by visible atrophy or dissolution of the graft, helping to avoid eyelid retraction and other complications.…”

Section: Discussionmentioning

confidence: 99%

Tenzel flap for reconstruction of full-thickness inferior ocular defects following basal cell carcinoma resection: Case report

Vidova Ugurbas

2023

ijmmr

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The relevance of this study lies in the development and implementation of an effective method of the Tenzel flap for the reconstruction of full-layer defects of the lower eyelid after resection of basal cell carcinoma. The purpose of this scientific study was to reconstruct the lower eyelid after resection of basal cell carcinoma using the Tenzel flap method and to investigate its effectiveness and results. The main feature of the surgical procedure was the use of a semicircular rotary Tenzel flap to repair moderate eyelid defects. This method involved the formation of a flap that starts from the outer corner of the eye, then moves up and along the temple, without crossing the outer edge of the eyebrow. After that, lateral cantolysis was used. The uniqueness lies in the ability to effectively correct moderate eyelid defects in one step, which simplifies the surgical process and minimises trauma to the patient. A significant condition in this procedure is the preservation of the tarsal plate on both sides of the excision, which allows preserving the structural integrity of the eyelid. Furthermore, this modification involves the use of the chondrocytic part of the nasal septum as a substitute and shows the effectiveness of this approach in the reconstruction of the eyelid after removal of basal cell carcinoma. Thus, the specific feature of the described surgical intervention is its effectiveness for moderate eyelid defects and the possibility of using modified methods of substitutes for complex defects. Given the results of the study, this modified method may become a major step in the treatment of patients with basal cell carcinoma, contributing to satisfactory cosmetic and functional results

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Section: Discussionmentioning

confidence: 99%

Tenzel flap for reconstruction of full-thickness inferior ocular defects following basal cell carcinoma resection: Case report

Vidova Ugurbas

2023

ijmmr

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“…Compared with other autografts, auricular cartilage is thin, relatively abundant, easy to harvest, and has minor donor site morbidity [ 68 ]. Reconstruction of eyelid defects with auricular cartilage grafts shows an aesthetic contour and sufficient support without obvious graft shrinkage or absorption, which prevents eyelid retraction and other complications [ 69 – 71 ]. However, these grafts lack an inner lining for conjunctival reconstruction, and irritation due to direct contact between the eyeball and the raw surface of the graft remains a concern [ 67 ].…”

Section: Posterior Lamellar Defects and Full-thickness Defectsmentioning

confidence: 99%

Surgical Strategies for Eyelid Defect Reconstruction: A Review on Principles and Techniques

Yan

et al. 2022

Ophthalmol Ther

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Reconstruction of eyelid defects, especially the posterior lamella, remains challenging because of its anatomical complexity, functional considerations, and aesthetic concerns. The goals of eyelid reconstruction include restoring eyelid structure and function and achieving an aesthetically acceptable appearance. An in-depth understanding of the complex eyelid anatomy and several reconstructive principles are mandatory to achieve these goals. Currently, there are multiple surgical treatment options for eyelid reconstruction, including different flaps, grafts, and combinations of them. This comprehensive review outlines the principles of reconstruction and discusses the indications, advantages, and disadvantages of currently available surgical techniques. We also propose our clinical thinking for solving specific clinical questions in eyelid reconstruction and offer perspectives on new potential methodologies in the future.

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“…Skin and the orbicularis muscle make up the anterior lamella, whereas the tarsal plate and conjunctiva make up the posterior lamella. 2 There are several choices for reconstruction, [3][4][5][6][7][8][9] depending on the depth, position, and size of the lower eyelid defect. In addition, there may be numerous combinations of reconstruction techniques, depending on how each lamella reconstruction method is used (Fig.…”

Section: Introductionmentioning

confidence: 99%

Customized Reconstruction of Lower Eyelid Defects

Kwon,

Song,

et al. 2023

Journal of Craniofacial Surgery

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Background: A lower eyelid defect is a loss of skin, muscle, and underlying structures that can occur due to trauma, malignant or benign tumors, burns, or other causes. The conventional surgical treatment of lower lid defects has several limitations, including visible scarring, narrowing of the eye, and ectropion. Here, we combined the use of a customized mid-face lift with a free mucochondral graft to overcome the disadvantages of existing methods. Methods: Forty patients underwent reconstructive surgery using a customized mid-face lift with or without a free mucochondral graft for a lower lid defect between April 2013 and October 2020. Patients were discharged shortly after surgery and were expected to visit the outpatient clinic periodically for 12 months. Results: The causes of lower eyelid defects were malignancy, trauma, foreign body granuloma, and other causes. Four patients reported complications, including 2 cases of chemosis, 1 case of a hematoma, and 1 case of corneal abrasion, who reportedly performed well after 2 weeks of conservative therapy. No patient required revision during the average follow-up period. Conclusions: Customized reconstruction demonstrated a better aesthetic reconstruction of the lower eyelid. This method represents a good option for reconstructing lower lid defects.

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Reconstruction of Lower Eyelid with Nasolabial Flap for Anterior Lamella and Turnover Flap for Posterior Lamella

Cited by 7 publications

References 11 publications

Tenzel flap for reconstruction of full-thickness inferior ocular defects following basal cell carcinoma resection: Case report

Tenzel flap for reconstruction of full-thickness inferior ocular defects following basal cell carcinoma resection: Case report

Surgical Strategies for Eyelid Defect Reconstruction: A Review on Principles and Techniques

Customized Reconstruction of Lower Eyelid Defects

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