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- Title
Pedicled lower lid-sharing flap for full-thickness reconstruction of the upper eyelid.
- Authors
Wang, Y C; Dai, H Y; Xing, X; Lv, C; Zhu, J; Xue, C Y
- Abstract
PurposeTo explore the clinical effect of the pedicled lower lid-sharing flap for full-thickness reconstruction of the upper eyelid.MethodsFrom 2009 to 2013, 13 upper eyelids with meibomian gland carcinoma (13 patients, age range 52-78 years) were excised, and immediately reconstructed with a pedicled lower lid-sharing flap used for full-thickness upper eyelid defects (up to two-thirds of the eyelid width). Traditionally, the flap is divided after 3 to 4 weeks, and the recipient site closed directly.ResultsDuring a 1-18-month follow-up period, no recurrence, lagophthalmos, hypertrophic scar, or bulky appearance was noted in any of the patients. Aesthetic results for the upper eyelid were obtained for all patients.ConclusionsWe conclude that the pedicled lower lid-sharing flap is a safe and reliable method for reconstruction of full-thickness upper eyelid defects. This procedure not only enables eyelid closure for eye protection, but also directly improves the aesthetic appearance of the face. After second-stage surgery, a stable eyelid margin and lashes with good blood supply and an acceptable cosmetic appearance with regard to symmetry of eyelid height, contour, tarsal show, and skin fold were achieved.
- Subjects
CORNEA surgery; DELETION mutation; OPHTHALMIC surgery; INPATIENT care; RETINAL blood vessels; RETINAL vein
- Publication
Eye, 2014, Vol 28, Issue 11, p1292
- ISSN
0950-222X
- Publication type
Article
- DOI
10.1038/eye.2014.183