McGregor flap: an alternative for lower eyelid and periorbital region
            reconstruction

Almeida, Augusto César de Melo; Alves, José Carlos Ribeiro Resende; Pereira, Nárlei Amarante; Jamil, Liliane Carvalho; Portugal, Erick Horta; Fonseca, Rebeca Paohwa Liu da; Filho, Aloísio Ferreira da Silva

doi:10.5935/2177-1235.2018rbcp0100

Cited by 1 publication

(2 citation statements)

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“…So a semicircular shape muscle and skin flap can be undermined and dissected [7,8]. AZ-plasty at the termination of a Tenzel flap will bring in additional tissue from the vertical temporal region, and provide horizontal tissue to the eyelid [9,10]. Subsequently, after performing a lateral canthotomy with cantholysis, the lid can be medially mobilized to enable the closure of lid defects.…”

Section: Tenzel Semicircular Flapmentioning

confidence: 99%

“…Reconstruction of a defect affecting 30% to 50% of horizontal lid length with diminished stretch ability of the remaining eyelid margins (to determine the necessary tissue for reconstruction, gentle tension is applied to the medial and lateral wound edges) requires a lateral canthotomy and cantholysis [5,6]. For defects that extend horizontally more than 50% and less than 75% of the eyelid's length Tenzel semicircular flap technique can be performed for reconstruction of lower and upper lid defects, with its possible extension known as McGregor flap (A-Z Plasty) [7][8][9][10]. For more extensive defects up to 75% of the eyelid's length, advanced techniques like the Hughes flap with a pedicled tarsoconjunctival flap and Mustarde cheek rota-tion flap (both for lower eyelid reconstruction) and the Cutler-Beard bridge flap with a pedicled cutaneomusculoconjunctival flap and Glabellar flap are appropriate (both for upper eyelid reconstruction) [2,4,[11][12][13].…”

Section: Introductionmentioning

confidence: 99%

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Oculoplastic reconstructions of eyelid defects — possibilities and limitations

Gaca,

Rejdak,

Flis

et al. 2024

Ophthalmol J

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There have been advancements in contemporary therapeutic approaches for treating malignant eyelid tumors. The modern therapeutic approach for basal cell carcinoma (BCC) involves innovative, pathogenetically targeted local or systemic drug effects aimed at impacting the carcinogenic process. However, it is still surgery that remains a crucial aspect of the available therapeutic options. This involves microsurgical removal of the tumor within healthy tissue, followed by the subsequent coverage of resulting defects. For a successful recovery, it is essential that every surgeon practicing in the fields of aesthetic, plastic and reconstructive surgery in eyelids and lacrimal system becomes proficient in a diverse set of reconstructive techniques, and precisely plans each step in advance. In our review we would like to describe and comment on the most common techniques used in the field of oculoplastic surgery for eyelid and lacrimal system reconstruction. The review contains numerous detailed examples of reconstructive techniques after surcical tumor excision. The goal of reconstructive management of the eyelids is to restore their function, comfort, and cosmetic appearance. This paper discusses the typical clinical characteristics and frequently employed surgical methods for eyelid tumors excisions, considering anatomical features and functionality of the eyelids. The choice of surgical procedures for eyelid tumors is determined by the tumor's location, extent, and histology. Addressing a defect involving the medial or lateral canthus poses a unique surgical challenge.

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