Lower eyelid reconstruction with pericranium graft and Mustarde flap

Ibáñez-Flores, Nuria; Bruzual-Lezama, C; Castellar-Cerpa, J.; Fernández-Montalvo, L

doi:10.1016/j.oftale.2019.04.006

Cited by 6 publications

(8 citation statements)

References 9 publications

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“…The edge of the defect should be perpendicular to the eyelid margin along the full height of the tarsus to avoid notching. [11][12][13] The method used for the reconstruction of the inferior eyelid depends on the involvement of the Advancement flaps have a linear or rectangular configuration. In the advancement flap technique, the movement is carried out directly forward or forward towards the defect without rotation or lateral movement.…”

Section: Discussionmentioning

confidence: 99%

The Outcomes of Lower Eyelid Reconstruction after Carcinoma Excision: Case Series

Wiryulisda

Hendriati

2022

Bioscmed

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Introduction: Eyelid reconstruction after excision of carcinoma can be challenging due to the dynamic movement and anatomy of the eyelid. Flap and graft are choices of techniques to fill and repair broad eyelid defects. Significant lower eyelid defects can typically be closed using skin flaps and grafts to substantiate the posterior lamella. This study aims to describe three cases with lower eyelid reconstruction and evaluate the outcome of the surgery. Case presentation: There are three cases of lower eyelid reconstruction reported in this study. In cases 1 and 2, the surgical procedures need graft for posterior lamellae reconstruction. In case 3, the reconstruction process only required a rotational flap. All patients are in good aesthetic and functional outcomes. Conclusion: Combination of skin flap (transposition and rotational flap) and graft (oral mucosa and transconjunctival) and only rotational flap can achieve favorable functional and aesthetic outcomes in wide excision of carcinoma.

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Section: Discussionmentioning

confidence: 99%

The Outcomes of Lower Eyelid Reconstruction after Carcinoma Excision: Case Series

Wiryulisda

Hendriati

2022

Bioscmed

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“…4 Most lower eyelid defects are caused by surgical excision of a neoplasm, as in our case, but they can also be caused by burns, trauma, infections, or congenital colobomata. 4 Basal cell carcinomas are locally invasive periocular skin cancers that affect the lower eyelids more than the upper eyelids, 5 and various reconstruction methods have been proposed for full-thickness defects caused by such lesions: a nasojugal flap with dermal pennant, 5 an angular artery island flap, 2 a semicircular flap with a periosteal flap, a tarsoconjunctival flap, 4 a pericranium graft and Mustarde flap, 6 and a modified cheek advancement flap. 7 All of these reconstruction techniques can give good function and esthetic results, but they are not perfect.…”

Section: Discussionmentioning

confidence: 99%

Novel “all-in-one” sandwich technique for reconstruction of full-thickness defects of the lower eyelid: a case report

et al. 2020

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The current paper presents a case report of lower eyelid reconstruction after removal of a basal cell carcinoma. Our novel reconstruction method consists of translation and rotation of a paramedian forehead flap into the defect, conjunctivorhinostomy for reconstruction of the nasolacrimal duct, and placement of a sandwich ear cartilage graft that is primarily seated into the forehead flap to maintain the vertical dimension of the eyelid. This “all-in-one” technique has the advantage of one-step reconstruction, avoiding multiple surgical procedures.

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“…Appropriate techniques to anchor or suspend the cheek flap to the lateral canthus or periosteum [ 23 ] or to sling it with a dermis-fat flap [ 24 ] are also necessary. The Mustarde flap is a reliable and versatile technique with a large donor area and sufficient blood supply [ 25 , 26 ]. However, the cheek skin is relatively thick for the eyelid.…”

Section: Anterior Lamellar Defectsmentioning

confidence: 99%

Surgical Strategies for Eyelid Defect Reconstruction: A Review on Principles and Techniques

Yan

et al. 2022

Ophthalmol Ther

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Reconstruction of eyelid defects, especially the posterior lamella, remains challenging because of its anatomical complexity, functional considerations, and aesthetic concerns. The goals of eyelid reconstruction include restoring eyelid structure and function and achieving an aesthetically acceptable appearance. An in-depth understanding of the complex eyelid anatomy and several reconstructive principles are mandatory to achieve these goals. Currently, there are multiple surgical treatment options for eyelid reconstruction, including different flaps, grafts, and combinations of them. This comprehensive review outlines the principles of reconstruction and discusses the indications, advantages, and disadvantages of currently available surgical techniques. We also propose our clinical thinking for solving specific clinical questions in eyelid reconstruction and offer perspectives on new potential methodologies in the future.

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Lower eyelid reconstruction with pericranium graft and Mustarde flap

Cited by 6 publications

References 9 publications

The Outcomes of Lower Eyelid Reconstruction after Carcinoma Excision: Case Series

The Outcomes of Lower Eyelid Reconstruction after Carcinoma Excision: Case Series

Novel “all-in-one” sandwich technique for reconstruction of full-thickness defects of the lower eyelid: a case report

Surgical Strategies for Eyelid Defect Reconstruction: A Review on Principles and Techniques

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