A New Method for Rebuilding a Lower Lid

Hughes, Wendell L.

doi:10.1001/archopht.1937.00850060064005

Cited by 157 publications

(58 citation statements)

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“…This is reflected in the numerous methods of reconstruction that have been described (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11), none with universal acceptance. The main aim of lower eyelid reconstruction is to produce a functional and aesthetically pleasing lower eyelid with minimum morbidity.…”

Section: Introductionmentioning

confidence: 99%

“…Grafts commonly used for the posterior lamella include chondromucosal (1,11), palatal mucosa (12), conchal cartilage (13) and less commonly fascia (14,15) , venous wall (3) and tarsal grafts (6) . Using the combination of vascularized posterior lamella and skin grafts is less popular (2,5,16). This is because the posterior lamella is in short supply compared to the anterior lamella.…”

Section: Introductionmentioning

confidence: 99%

“…The tarso-conjunctival layer from the upper lid is usually utilized as a vascularized flap (2,16). However, donor complications involving the upper lid can arise from these procedures, which may be more difficult to repair than the original procedure (1).…”

Section: Introductionmentioning

confidence: 99%

“…The combination of a flap and graft often leads to unpredictable results due to the unpredictable nature of grafts or unacceptable donor morbidity (2,16) Replacing both the anterior and the posterior lamellae with vascularized tissue should therefore be preferable. Unfortunately, these procedures are often technically difficult (17), have limited use or result in unacceptable donor morbidity (8) We describe and share our experience with a rotation-advancement tarso-conjunctival cheek flap, which reconstructs both posterior and anterior lamella with vascularized tissue similar to that of the native eyelid.…”

Section: Introductionmentioning

confidence: 99%

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Reconstruction of the Lower Eye Lid With a Rotation-Advancement Tarsoconjunctival Cheek Flap

Wessels

Graewe

Deventer

2010

Journal of Craniofacial Surgery

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Reconstruction of the lower eyelid with a rotation-advancement tarso-conjunctival cheek flap. AbstractThe repair of full-thickness defects of the lower eyelids poses a challenge because a graft in combination with a flap is typically used to replace either the posterior or anterior lamella. This often results in aesthetically and functional unsatisfactory outcomes. A rotation-advancement tarso-conjunctival cheek flap, which reconstructs both posterior and anterior lamella with vascularized tissue similar to the native eyelid, is described.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Reconstruction of the Lower Eye Lid With a Rotation-Advancement Tarsoconjunctival Cheek Flap

Wessels

Graewe

Deventer

2010

Journal of Craniofacial Surgery

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“…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

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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...

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Primary Localized Amyloidosis Presenting as an Eyelid Margin Tumor

Fett

Putterman

1986

Archives of Ophthalmology

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A New Method for Rebuilding a Lower Lid

Cited by 157 publications

References 0 publications

Reconstruction of the Lower Eye Lid With a Rotation-Advancement Tarsoconjunctival Cheek Flap

Reconstruction of the Lower Eye Lid With a Rotation-Advancement Tarsoconjunctival Cheek Flap

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

Primary Localized Amyloidosis Presenting as an Eyelid Margin Tumor

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