Total lower-eyelid reconstruction: Modified Fricke’s cheek flap

Barba-Gómez, Julio; Zuñiga-Mendoza, Omar; Iñiguez-Briseño, Itzel; Sánchez-Tadeo, María Trinidad; Barba‐Gómez, José Fernando; Molina-Frechero, Nelly; Bologna‐Molina, Ronell

doi:10.1016/j.bjps.2011.06.044

Cited by 23 publications

(22 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In his case series on reconstruction of lower eyelids, Barba-Gómez et al .,[3] have considered many such techniques like the method described by Mustarde,[2] the Hughes[4] transposition flap with its modifications,[5] the eyelid[6] cutaneous rim graft, the hard palate graft covered by an orbicularis oculi myocutaneous advancement flap,[7] the Tripier[8] flap, and more complex approaches such as the pre-expansion mucosa-lined tongue flap,[9] the use of acellular human dermis,[1011] the cheek flap supported by fascia lata,[12] the island tarsoconjuctival mucochondrocutaneous flap,[1314] and the use of an expanded forehead Fricke flap. [151617] All of these techniques are useful when reconstruction of the lower eyelid is required; however, some of these procedures are complex and expensive.…”

Section: Discussionmentioning

confidence: 99%

“…The granulation tissue created at the bottom of the flap regenerates mucosa with time, which tends to contract and tether the flap downwards, thereby increasing scleral exposure. [3] The documented disadvantages include temporary chemosis of the conjunctiva coming in contact with the flap, scarring in the cheek, and some cases of corneal injury. Better cosmetic results can be achieved by additional interventions like flap lipectomy, scar revision, and eyelash implants.…”

Section: Discussionmentioning

confidence: 99%

“…The posterior lamella can also be reconstructed with a periosteum flap to improve the results. [3] Keeping this in mind we have used the conchal cartilage with its perichondrium as an attempt to improve the functional and cosmetic result in our patient. Being a vascularized flap, it can support a free graft for the reconstruction of the posterior lamella.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Total reconstruction of lower eyelid in a post-traumatic patient using modified fricke′s cheek flap

Sengupta¹,

Baruah²,

Pal³

et al. 2013

J Surg Tech Case Report

View full text Add to dashboard Cite

Eyelids are very complex structure, reconstruction of which is a challenge to surgeons. Reconstruction of eyelids may be required in a variety of conditions like congenital anomalies, trauma, or postsurgical excision in malignant lesions involving the eyelids. There are numerous ways to reconstruct the eyelids; the best procedure depends on both the skill of the surgeon and the condition of the patient. Fricke’ lateral temporal based flap was first described in 1829 for reconstruction of the eyelids and lateral canthal region. This flap had inherent problems regarding cosmetic appearance of the eyebrows. The modified Fricke's flap based on the cheek has the advantage of avoiding such complications. It is very easy and rapid outpatient department (OPD) based procedure with acceptable cosmetic and functional result. It can be done by all ear, nose, and throat (ENT) and head and neck surgeons without any reconstructive training. In this article we are presenting a case of total reconstruction of lower eyelid using the modified Fricke's cheek flap.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Total reconstruction of lower eyelid in a post-traumatic patient using modified fricke′s cheek flap

Sengupta¹,

Baruah²,

Pal³

et al. 2013

J Surg Tech Case Report

View full text Add to dashboard Cite

show abstract

“…9 Another variation of cheek flaps is the modified Fricke's cheek flap, a flap that is harvested from the cheek without using mucosal graft. 10 In addition to these methods, a nasojugal flap of Tessier with upper nasal chondromucosal graft is an excellent method for total or near total defects of the lower eyelid due to the vascularity of the flap. Application of this flap for replacement and smaller chondromucosal graft for the inner lamella is preferable for 50 to 60% of defects in the medial portion of the eyelid.…”

mentioning

confidence: 99%

A New Technique for Reconstruction of Medium-Sized Eyelid Defects (A Modification of Tessier Nasojugal Flap)

Yousefiazar

Hassanzadazar

2018

Facial plast Surg

View full text Add to dashboard Cite

Eyelid reconstructions are considered challenging surgical procedures, which are mostly performed due to trauma, tumor resections, and congenital defects. Several techniques can be used to reconstruct the lower eyelid defects. In this study, the authors aimed to introduce a new single-step technique for the reconstruction of medium-sized lower eyelid defects while preventing ectropion. A modified nasojugal flap was designed and harvested after making a complete incision. A dermal extension from the nasolabial area was added to the end of the nasojugal flap. A tunnel was created under the orbicularis oculi muscle, and the dermal tail was passed through this tunnel toward the lateral canthus. The flap was fixed in its new position by suturing. The defect in the nasojugal area was repaired by bilateral advancement of the surrounding tissue. The recovery of the patients was followed up for 6 months, which included assessment of the eyelid position and donor site morbidity. A total of four patients with an age range of 64 ± 8 years who suffered from basal cell carcinoma were treated using the technique introduced in this study. No ectropion or abnormal eyelid position nor donor site morbidity was observed during the follow-up period. Reconstruction of a medium-sized lower eyelid defect using nasolabial flap with local modification combined with orbital canthus fixation resulted in appropriate functional and cosmetic outcomes and limited the risk of complications and morbidity.

show abstract

“…When primary closure is not feasible, various flap alternatives developed with the aims of functional restoration and aesthetic improvement of the lower eyelid zones can be employed, such as the semicircle (Tenzel) flap (5), superiorly based tarsoconjunctival advancement (Hughes) flap (6), upper eyelid myocutaneous (Tripier) flap (7), transposed cheek (McGregor) flap (8), cheek rotation and advancement (Mustardé) flap (9), and supraorbital (Fricke) flap (10).…”

mentioning

confidence: 99%

Superiorly based nasolabial island flap for reconstruction of the lateral lower eyelid

Tatar¹,

Yontar²,

Özmen³

2017

Turk J Med Sci

View full text Add to dashboard Cite

IntroductionReconstruction of the eyelids is a challenging task for plastic and reconstructive surgeons and is mostly performed due to trauma, tumor resection, or, less commonly, congenital abnormalities (e.g., coloboma, Tessier no. 3-6 clefts) (1,2). The decision as to the most appropriate reconstructive option depends on assessment of the eyelid defect in terms of its size, extent, orientation, and, most importantly, location. A method of classifying periocular defects according to location was developed by Spinelli and Jelks (3), in which the eyelid was divided into 5 zones: zone I, the upper eyelid; zone II, the lower eyelid; zone III, the medial canthal region; and zone IV, the lateral canthal region. Furthermore, any area outside zones I-IV but contiguous with the eyelids was described as zone V in this classification system (Figure 1).Full-thickness defects up to 25% of the width of the lower eyelid can be repaired via direct closure. Lateral canthotomy and cantholysis can provide 25% additional horizontal length, leading to tissue advancement and rotation to aid in closure of larger defects (1,3,4). When primary closure is not feasible, various flap alternatives developed with the aims of functional restoration and aesthetic improvement of the lower eyelid zones can be employed, such as the semicircle (Tenzel) flap ( 5), superiorly based tarsoconjunctival advancement (Hughes) flap (6), upper eyelid myocutaneous (Tripier) flap (7), transposed cheek (McGregor) flap (8), cheek rotation and advancement (Mustardé) flap (9), and supraorbital (Fricke) flap (10).Nasolabial flap is rarely employed for the reconstruction of the lower eyelid. It is a random-pattern cutaneous flap with redundant blood supply from the perforating branches of the facial and angular arteries and can be used as an inferiorly or superiorly based flap (11,12). It has a wide spectrum of use for nasal and midfacial defects (13,14) and can be used as an island (15) or transposition flap (16-18) for the reconstruction of the lower eyelid.In this study, we aimed to present the clinical results of using the superiorly based nasolabial island flap for repair Background/aim: Various flap procedures have been described and used for the lower eyelids; however, the nasolabial flap is rarely employed. We herein aimed to present the clinical results of using the superiorly based nasolabial island flap for repair of surgical defects extending to the lateral lower eyelid. Materials and methods:Nine patients with a mean age of 62 ± 6 years underwent surgery for reconstruction of the lower eyelid. Results:The diagnosis of lesions was nodular basal-cell carcinoma (n = 5), superficial basal-cell carcinoma (n = 1), well-differentiated squamous-cell carcinoma (n = 1), and basosquamous-cell carcinoma (n = 2). According to the classification reported by Spinelli and Jelks, 6 surgical defects were located at zones II and IV, while 3 were at zones II and V. Five patients required posterior lamellar reconstruction. Lagopthalmos (n = 1), ectropion (n = 1), and trans...

show abstract

Total lower-eyelid reconstruction: Modified Fricke’s cheek flap

Cited by 23 publications

References 13 publications

Total reconstruction of lower eyelid in a post-traumatic patient using modified fricke′s cheek flap

Total reconstruction of lower eyelid in a post-traumatic patient using modified fricke′s cheek flap

A New Technique for Reconstruction of Medium-Sized Eyelid Defects (A Modification of Tessier Nasojugal Flap)

Superiorly based nasolabial island flap for reconstruction of the lateral lower eyelid

Contact Info

Product

Resources

About