Mustardé Flap Lower Lid Reconstruction after Malignancy

Callahan, Michael A.; Callahan, Alston

doi:10.1016/s0161-6420(80)35237-8

Cited by 54 publications

(30 citation statements)

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“…(7) In our case lower eyelid and tarsal plates were intact only of lower lateral tarsal plate was excised minimally. Thus, support for lower eyelid was maintained.…”

Section: Methodsmentioning

confidence: 72%

“…(2) One of the most versatile flap among above flap for reconstructing orbito-palpebral-cheek defects after surgery is the Mustarde advancement rotation cheek flap. The technique was first described by Mustarde in 1971 and then latter popularized by Callahan & Callahan in 1980. This technique is often used to reconstruct the full thickness defect of lower eyelid and cheek. (3) This case report describes how a patient with the cutaneous squamous cell carcinoma over left zygoma was surgically managed with the resection of the lesion and reconstruction of the defect with the local flap by Mustarde advancement rotation cheek flap.…”

Section: Introductionmentioning

confidence: 99%

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A large squamous cell carcinoma over the zygoma- a rare presentation reconstructed with mustarde advancement rotation cheek flap

2016

IJASHNB

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Background & Objectives: The use of Mustarde advancement rotational cheek flap for moderate to advance facial defects is a simple and effective alternative among other local, regional, free flaps like rhomboid flap, bilobed flap, cervical flap and for repair of the large defect of the facial skin with microvascular free flap like rectus abdominis free flap are used for facial reconstruction. Instead of using more complex free flaps, this flap can be considered as an alternative. Method: Mustarde advancement rotational cheek was harvested by carrying superior part of incision cephalad towards temple. Result & Interpretation:Defect site showed satisfactory healing with reduced morbidity with satisfactory result. Conclusion: Mustarde advancement rotational cheek flap proved to be useful alternative for surgeons for reconstruction of large facial defects with minimal morbidity. It can definitely replace the other complex flaps in most instances.In this article, we report the use of Mustarde advancement rotational cheek flap to reconstruct the facial defect.

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“…(7) In our case lower eyelid and tarsal plates were intact only of lower lateral tarsal plate was excised minimally. Thus, support for lower eyelid was maintained.…”

Section: Methodsmentioning

confidence: 72%

Section: Introductionmentioning

confidence: 99%

A large squamous cell carcinoma over the zygoma- a rare presentation reconstructed with mustarde advancement rotation cheek flap

2016

IJASHNB

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“…(1-3) Amongst various techniques (4)(5)(6) available for full thickness lower lid reconstruction, Hughes method or tarsoconjunctival advancement flap stands out as a favorable choice to impart normal anatomy and function to lid as it uses the principle of" like with like" i.e. replacing lid tissue with lid tissue.…”

Section: Discussionmentioning

confidence: 99%

“…(4)(5)(6) These techniques are associated with myriad of complications including donor site scarring, limits tissue availability. Premature flap dehiscence has been reported in 8% of cases.…”

Section: Discussionmentioning

confidence: 99%

Repair of large full thickness lower lid defect following mass excision using Modified Hughes procedure

2017

IJOOO

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Objective: To highlight a case of lower lid repair using Hughes procedure. Case Report: 70 year old male presented with painless, firm looking growth on left lower eyelid for 2 years. A pentagonal shaped lid excision done involving whole extent of the mass along with 2 mm of surrounding healthy looking tissue. Large posterior laminar horizontal defect was repaired with a Hughes tarsoconjunctival flap prepared by undermining the tarsus and conjunctiva upto the levator aponeuros in superior fornix and inferiorly leaving at least 4 mm of tarsus for lid stability. This bridge flap was advanced to the lower lid defect and sutured to the remnants of tarsus of lower lid to form posterior lamella. Anterior lamella was repaired with an appropriately sized full thickness skin graft taken from upper lid. A second stage surgery was done after 6 weeks to excise the bridge. With the help of a grooved director, which was slid underneath the flap anterior to the cornea, the flap was divided using a blade. Conjunctiva sutured to the lower eyelid margin.

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“…Advancement flaps from the lateral cheek cannot usually be advanced sufficiently to reconstruct a large defect involving the lid margin. The Mustarde cheek rotation flap can be effective for medial defects extending inferiorly but the flap tends to drop and secondary reconstruction of the lower lid may be needed later 2 .…”

Section: Introductionmentioning

confidence: 99%

Transposed Cheek Flap in Lower Lid Reconstruction: A Retrospective Case Note Review

Lamont

Jayaramachandran

Tyers

2011

Orbit

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Mustardé Flap Lower Lid Reconstruction after Malignancy

Cited by 54 publications

References 0 publications

A large squamous cell carcinoma over the zygoma- a rare presentation reconstructed with mustarde advancement rotation cheek flap

A large squamous cell carcinoma over the zygoma- a rare presentation reconstructed with mustarde advancement rotation cheek flap

Repair of large full thickness lower lid defect following mass excision using Modified Hughes procedure

Transposed Cheek Flap in Lower Lid Reconstruction: A Retrospective Case Note Review

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