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

Fodor, Lucian; Bran, Simion; Armencea, Gabriel; Onişor, Florin

doi:10.1177/0300060520918697

Cited by 6 publications

(9 citation statements)

References 16 publications

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“…Sensory loss at the forehead has been reported to be temporary due to the overlapping adjacent supraorbital nerve territory [ 16 ]. Lower eyelid retraction with inferior scleral show has also been reported [ 24 ]. Lagophthalmos was the most common complication noted within our case series, which is not widely reported in the literature.…”

Section: Discussionmentioning

confidence: 91%

The use of the paramedian forehead flap alone or in combination with other techniques in the reconstruction of periocular defects and orbital exenterations

Ang

Juniat

O’Rourke

et al. 2022

Eye

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Purpose The paramedian forehead flap (PMFF) is a reconstructive option for large eyelid defects and orbital exenterations. We report a series of cases where PMFF reconstruction was carried out at various institutions in Australia. Methods This study was a multi-centre, retrospective, non-comparative case series investigating the clinical outcomes of the PMFF for reconstructing periocular defects and orbital exenterations. Results This case series describes twenty-seven patients (Female = 15, Male = 12), operated between 1991 to 2019, with a median age of 81 years (range: 45–93 years). Defect locations involved combinations of the medial canthus (16/27, 59.3%), upper eyelids (7/27, 25.9%), lower eyelid (4/27, 14.8%), both upper and lower eyelids (5/27, 18.5%), and orbital (7/27, 25.9%). There were no cases of flap necrosis. Minor post-operative complications were observed in ten patients with the most common being lagophthalmos. Median duration of follow-up was 17months (Range: 2months- 23years). Conclusions The PMFF is a versatile reconstructive tool for a range of periocular defects and orbital exenterations with minor post-operative complications.

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Section: Discussionmentioning

confidence: 91%

The use of the paramedian forehead flap alone or in combination with other techniques in the reconstruction of periocular defects and orbital exenterations

Ang

Juniat

O’Rourke

et al. 2022

Eye

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“… 11 and Elshamma et al ., 12 many authors describe the use of this local flap for reconstruction of medially located eyelid defects or defects of the medial canthus. Modifications of this technique for periocular reconstruction, such as expanded pedicled forehead flaps, 14 single-staged tunnelled forehead flaps, 15 or forehead flaps with implantation of a chondral graft 16 have been described too. Nevertheless, no comparable articles using the same combination of reconstructive techniques as described in this case report could be revealed by our Pubmed.gov search.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of an Extensive Periocular and Bilamellar Defect of the Lower and Upper Eyelid Using Local, Regional and Free Chondral Graft Techniques: A Case Report

Weerdt

Luyten

Dubrulle

et al. 2021

wjps

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BACKGROUNDA 65-year-old female patient with a histologically confirmed basal cell carcinoma located at the right lateral lower eyelid was referred for surgical tumour excision and reconstruction of the periorbital area. The periocular zone was reconstructed in a two-staged procedure with bilamellar repair of both eyelids. An autologous chondral graft, mucosal advancement techniques and a periosteum-temporalis fascia hinged turnover flap were used for reconstruction of the posterior lamellae. A modified Tenzel flap and a paramedian forehead flap were used for reconstruction of the anterior lamellae. An acceptable functional and aesthetic outcome of the reconstruction was achieved.

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“…Auricular cartilage has been published widely as an available substitute of defected tarsus to restore stability of the lower eyelid (42). Fodor et al (48) reported a novel "allin-one" sandwich technique to reconstruct a full-thickness defect of the lower eyelid after removing a basal cell carcinoma. They placed a sandwich ear cartilage graft into a paramedian forehead flap and rotated it into the defect site, which helps maintain the eyelid's vertical dimension.…”

Section: Auricular Cartilagementioning

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

Cited by 6 publications

References 16 publications

The use of the paramedian forehead flap alone or in combination with other techniques in the reconstruction of periocular defects and orbital exenterations

The use of the paramedian forehead flap alone or in combination with other techniques in the reconstruction of periocular defects and orbital exenterations

Reconstruction of an Extensive Periocular and Bilamellar Defect of the Lower and Upper Eyelid Using Local, Regional and Free Chondral Graft Techniques: A Case Report

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

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