Posttraumatic eyebrow reconstruction with hair-bearing temporoparietal fascia flap

Denadai, Rafael; Raposo-Amaral, Cássio Eduardo; Marques, Frederico Figueiredo; Raposo‐Amaral, Cesar Augusto

doi:10.1590/s1679-45082015rc2834

Cited by 4 publications

(2 citation statements)

References 12 publications

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“…There have been several case reports and series describing the use of TPF flap in eyelid reconstruction 1-5,14-21 (see Table 1). The etiology of these eyelid defects is most often tumor resection, trauma, congenital defect or burn.…”

Section: Literature Reviewmentioning

confidence: 99%

Temporoparietal Fascia Flap for Complex Eyelid Reconstruction: A Case Series and Literature Review

Jain

Rubin²,

Cho

et al. 2023

FACE

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Purpose: Large, complex eyelid defects involving all layers of the upper and/or lower eyelids still present a challenging problem. Temporoparietal fascia (TPF) flap can be used in some of these cases for reconstruction. The authors review the etiology, presentation, surgical technique, and results of this procedure and review the literature to date. Recommendations are made for optimizing surgical technique and guidelines for when to use the flap. Methods: The authors present a series of 4 cases of large eyelid defects reconstructed using the TPF flap. The etiology of these defects were: congenital, trauma, tumor and complication of maxillofacial surgery. Outcomes reviewed include functional and cosmetic results, and complications. Literature review of eyelid reconstruction using TPF flap is performed. Results: All patients achieved an acceptable cosmetic and functional outcome. There was resolution of both lagophthalmos and severe exposure keratopathy in all patients. Post-operative complication occurred in one patient and involved necrosis of the skin graft over the TPF flap. This was managed with a second skin graft several weeks later with satisfactory results. Conclusion: Trauma, tumors, congenital craniofacial anomalies and maxillofacial surgery for resection of sinus tumors can cause large eyelid defects. Small eyelid defects can be repaired with lid sharing procedures but for exceptionally large defects, these techniques become insufficient. TPF flap is an excellent option and can be used in these cases to achieve an acceptable cosmetic and functional outcome with preservation of the globe. TPF flap is a versatile option which can reconstruct a large eyelid defect with one procedure. Complications can be avoided with meticulous attention to detail. TPF flap is best suited for upper and/or lower eyelid defects which are categorized as Type III or Type IV.

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Section: Literature Reviewmentioning

confidence: 99%

Temporoparietal Fascia Flap for Complex Eyelid Reconstruction: A Case Series and Literature Review

Jain

Rubin²,

Cho

et al. 2023

FACE

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“…Various techniques for eyebrow reconstruction techniques have been described worldwide. These include cosmetic tattooing, composite hair grafts (such as micro-grafts, strip grafts, and punch grafts), subcutaneous pedicle island flaps, temporo-parietal fascia flaps, and 2-stage interpolation scalp flaps 4 …”

mentioning

confidence: 99%

Eyebrow Reconstruction in Craniofacial Clefts by Abnormal Hairline Extention

Kalantar-Hormozi,

Noori,

Karimi

2023

Journal of Craniofacial Surgery

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The absence of eyebrows, whether complete or partial, has been observed in specific types of craniofacial clefts, primarily occurring in Tessier clefts numbers 9 to 13. To address this defect, several techniques have been used to improve eyebrow appearance, such as the island scalp flap and scalp strip grafting technique. However, these methods did not yield satisfactory esthetic results. In this study, the authors present findings from 7 patients with craniofacial clefts, in whom the eyebrows were completely reconstructed through the rotation flap technique, using abnormal frontal hairline extension, in 1 or 2 stages. The result was natural-looking and highly satisfactory, with no associated morbidity.

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Use of Modified Islanded Paramedian Forehead Flap for Complex Periocular Facial Reconstruction

Tripathy

Garg²,

John³

et al. 2019

Journal of Craniofacial Surgery

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The paramedian forehead flap is a workhorse flap for reconstructing the nose and periorbital regions. Many variants are described including an islanded flap. However, eyebrow reconstruction is not usually performed with these flaps. The authors describe a patient suffering from postburn scarring medial to the left eye, including loss of the left eyebrow. He underwent a single-stage transfer of the paramedian forehead flap. The flap incorporated scalp hair, which restored the missing eyebrow hair after transfer. The donor defect closed primarily. The paramedian forehead flap is amenable to customization by including a segment of hair-bearing scalp to concomitantly reconstruct the nasal dorsum and eyebrow.

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Posttraumatic eyebrow reconstruction with hair-bearing temporoparietal fascia flap

Cited by 4 publications

References 12 publications

Temporoparietal Fascia Flap for Complex Eyelid Reconstruction: A Case Series and Literature Review

Temporoparietal Fascia Flap for Complex Eyelid Reconstruction: A Case Series and Literature Review

Eyebrow Reconstruction in Craniofacial Clefts by Abnormal Hairline Extention

Use of Modified Islanded Paramedian Forehead Flap for Complex Periocular Facial Reconstruction

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