Island mucochrondrocutaneous flap for reconstruction of total loss of the lower eyelid

The methods usually employed for reconstruction of total lower eyelid loss include (1) tarsoconjunctival flaps from the upper eyelid and skin-graft cover and (2) chondromucosal grafts and local skin-flap cover. We report a technique for coverage of these defects with an island flap involving the ful...

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Veröffentlicht in:Plastic and reconstructive surgery (1963) 1997-07, Vol.100 (1), p.104-107
Hauptverfasser: PORFIRIS, E, GEORGIOU, P, HARKIOLAKIS, G, POPA, C. V, SANDRIS, P, SGOURAS, N
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container_end_page 107
container_issue 1
container_start_page 104
container_title Plastic and reconstructive surgery (1963)
container_volume 100
creator PORFIRIS, E
GEORGIOU, P
HARKIOLAKIS, G
POPA, C. V
SANDRIS, P
SGOURAS, N
description The methods usually employed for reconstruction of total lower eyelid loss include (1) tarsoconjunctival flaps from the upper eyelid and skin-graft cover and (2) chondromucosal grafts and local skin-flap cover. We report a technique for coverage of these defects with an island flap involving the full thickness of the ipsilateral nasal wall based on the dorsal (external) nasal vessels, terminal branches of the ophthalmic vessels. The advantages of this method are (1) the main components of the eyelid (skin, tarsus, conjunctiva) are reconstructed in a single short operation, even under local anesthesia, (2) there is one donor area that can be closed primarily without significant deformity, (3) the upper lid remains intact, and ectropion is improbable, and (4) the procedure involves a short hospitalization. As disadvantages we might mention bulkiness of the new eyelid and difficult dissection of the (subcutaneous) pedicle.
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source MEDLINE; Journals@Ovid Complete
subjects Aged
Aged, 80 and over
Biological and medical sciences
Carcinoma, Basal Cell - surgery
Eyelid Neoplasms - surgery
Eyelids - surgery
Female
Humans
Male
Medical sciences
Skin Neoplasms - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
Surgical Flaps - methods
title Island mucochrondrocutaneous flap for reconstruction of total loss of the lower eyelid
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