Forehead galeal pericranial flap for single-staged total upper eyelid reconstruction in sebaceous gland carcinoma excision

Chang, Hui-hsiu; Suh, Edward H; Fortes, Blake H; Zheng, Franklin; Cheng, Anny M. S.

doi:10.2147/imcrj.s141373

Cited by 8 publications

(6 citation statements)

References 15 publications

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“…Tse et al 15 reported the use of pericranial flap in the reconstruction of a bony orbital defect following trauma and of the upper eyelid following major tumor excision and trauma showing that it acted as an excellent vascular bed to support the free tarsal and skin graft. Following these, a few more are reported in the literature where the pericranial flap has been used in upper eyelid reconstruction, [16][17][18] deep medial canthal defect with loss of periosteum or bone, 9 and lower eyelid and medial canthal reconstruction with pericranial and Mustardé flaps. 19 The authors have reported the use of pericranial flaps for lower eyelid reconstruction and also to treat lower eyelid retraction in adults.…”

Section: Discussionmentioning

confidence: 99%

The Use of the Pericranial Periosteal Flap in Children for Treating Severe Lower Eyelid Retraction

Lim

Malhotra

2023

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Purpose: To describe a surgical technique that can achieve significant lower eyelid elevation in severe retraction in children using a pericranial periosteal flap with skin graft. Methods: A retrospective, single-center, case series of 3 consecutive pediatric cases are performed where a pericranial periosteal flap was used with a skin graft to manage severe lower eyelid retraction. Outcome measures include the extent of lower eyelid elevation (mm) and complications in the follow-up visits. Results: Three children with severe lower eyelid retraction underwent the surgery. There were 2 boys and 1 girl with the mean age of 6.7 years (range, 5–8 years). The improvement of lower eyelid retraction was 3, 3, and 7 mm at 28, 24, and 6 months, respectively. No perioperative or postoperative complications occurred. Conclusions: Children with severe lower eyelid retraction often have a complex craniofacial and surgical history, and its surgical correction can be challenging. This case series present the successful use of pericranial flaps in treating severe lower eyelid retraction in children. The authors recommend this flap in children where traditional options have either failed or are not applicable.

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Section: Discussionmentioning

confidence: 99%

The Use of the Pericranial Periosteal Flap in Children for Treating Severe Lower Eyelid Retraction

Lim

Malhotra

2023

Ophthalmic Plastic &Amp; Reconstructive Surgery

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“…HPM can simultaneously replace the tarsal plate and palpebral conjunctiva. It has several advantages, e.g., moderate hardness, smooth surface, small glands, excellent stability and resistance to deformation, rich blood supply, concealed incisions, no risk of rejection, and readily acquired adequate sizes (1,32). Wang et al (33) reconstructed serious full-thickness lower eyelid defects in 34 patients by a novel "three-layer structure" tissue combining palmaris longus tendon with superiorly-based nasolabial skin flap and palatal mucosal graft.…”

Section: Hard Palatal Graftmentioning

confidence: 99%

Posterior lamella substitutes in full-thickness eyelid reconstruction: a narrative review

Guo¹,

Gao²,

Ma³

et al. 2023

Front Oral Maxillofac Med

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Background and Objective: Severe full-thickness eyelid defects seriously endanger the health and beauty of the ocular surface. It is the most challenging field of oculoplastic and reconstructive surgery to reconstruct eyelid's natural appearance and function, in which the posterior eyelid lamella plays an essential role. Without enough substitute support in eyelids suffered sizeable posterior lamella defects, various complications may occur, e.g., entropion, ectropion, incomplete eyelid closure, corneal irritation, keratitis, corneal ulcers, and even vision loss, leading to failure of eyelid reconstruction. This manuscript aimed to summarize recent advances in posterior eyelid lamella substitutes and summarize the types, advantages, and disadvantages of the present posterior lamella substitutes in full-thickness eyelid reconstruction.Methods: A literature search was conducted in the PubMed database to identify relevant publications using the search algorithm "eyelid reconstruction". The full-text publication reports about posterior substitutes from January 2016 to April 2021 in English were selected and reviewed. We also screened relevant research missed in this search algorithm from the reference lists of specific full-text papers.

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“…[14,15] The current primary treatment for SCE is complete surgical resection followed by eyelid reconstruction. [2,16] The effective excisional surgery involves wide local excision and frozen sectioning or Mohs micrographic surgery. [17][18][19][20][21][22] Both therapies reduce recurrence, metastasis, and tumor-related mortality by 15.9%, 12.1%, and 6.2%, respectively.…”

Section: Introductionmentioning

confidence: 99%

The effectiveness and safety of eyelid defect reconstruction after sebaceous carcinoma of the eyelid surgery: A protocol for systematic review and meta-analysis

et al. 2023

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Introduction: Sebaceous carcinoma of the eyelid is the third most common eyelid malignancy, after basal cell carcinoma and squamous cell carcinoma. It is highly malignant and potentially aggressive. Surgical excision is currently the best treatment option for this condition. Patients often require reconstruction surgery to repair eyelid defects to achieve normal eyelid function and appearance. However, no comprehensive systematic review has assessed the efficacy and safety of eyelid defect reconstruction. This protocol was developed to conduct a systematic review and meta-analysis to evaluate evidence related to the efficacy and safety of reconstruction. Methods: We will systematically search the Cochrane Library, PubMed, Web of Science, China National Knowledge Infrastructure, WanFang Database, and Chinese Biomedical Literature Database from their inception to February 2023 for studies on eyelid defect reconstruction. We will identify other potential studies using multiple methods such as manual searching. The outcomes were eyelid function, eyelid morphology, patient satisfaction, recurrence rate, metastasis rate, tumor-related mortality, and adverse events. Two researchers will independently screen titles and abstracts, identify full-text studies for inclusion, extract data, and appraise the risk of bias in the included studies. A meta-analysis will be conducted using Review Manager 5.4 and R software. The certainty of evidence will be appraised by grading of recommendations, assessment, development, and evaluation system. Results: This full-text will adhere to the preferred reporting items for systematic reviews and meta-analyses statement to ensure clarity and completeness of reporting in all phases of the systematic review. Discussion: This study provides evidence of the efficacy and safety of reconstruction methods for sebaceous carcinoma of the eyelid.

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Forehead galeal pericranial flap for single-staged total upper eyelid reconstruction in sebaceous gland carcinoma excision

Cited by 8 publications

References 15 publications

The Use of the Pericranial Periosteal Flap in Children for Treating Severe Lower Eyelid Retraction

The Use of the Pericranial Periosteal Flap in Children for Treating Severe Lower Eyelid Retraction

Posterior lamella substitutes in full-thickness eyelid reconstruction: a narrative review

The effectiveness and safety of eyelid defect reconstruction after sebaceous carcinoma of the eyelid surgery: A protocol for systematic review and meta-analysis

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