Total lower eyelid reconstruction with superficial temporal fascia flap and porous polyethylene implant: A case report

Şahin, İsmail; Aykan, Andaç; Açıkel, Cengiz Han; Alhan, Doğan; Işık, Selçuk

doi:10.1016/j.bjps.2011.06.015

Cited by 8 publications

(6 citation statements)

References 10 publications

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“…Lower lid reconstruction with the TPF flap has been described before in several case reports. 1,19 However, as shown in Case # 4, the TPF flap can be used for reconstruction of the upper eyelid successfully. A bilobed island flap that incorporates skin can also be used for combined lateral defects of the upper and lower eyelid.…”

Section: Discussionmentioning

confidence: 97%

“…Temporoparietal flap 16,19,24 and its variation such as an island flap 17 is a versatile flap for large and complex defects of the eyelid which cannot be reconstructed with eyelid sharing procedures. Eyelid sharing procedures such as Hughes flap or a Cutler-Beard composite flap just do not provide enough soft tissue to cover large defects of the eyelid which extend to the orbital rim or most of the vertical length and horizontal width of the eyelid.…”

Section: Discussionmentioning

confidence: 99%

“…There have been several case reports and series describing the use of TPF flap in eyelid reconstruction 1-5,14-21 (see Table 1). The etiology of these eyelid defects is most often tumor resection, trauma, congenital defect or burn.…”

Section: Literature Reviewmentioning

confidence: 99%

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Temporoparietal Fascia Flap for Complex Eyelid Reconstruction: A Case Series and Literature Review

Jain

Rubin²,

Cho

et al. 2023

FACE

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Purpose: Large, complex eyelid defects involving all layers of the upper and/or lower eyelids still present a challenging problem. Temporoparietal fascia (TPF) flap can be used in some of these cases for reconstruction. The authors review the etiology, presentation, surgical technique, and results of this procedure and review the literature to date. Recommendations are made for optimizing surgical technique and guidelines for when to use the flap. Methods: The authors present a series of 4 cases of large eyelid defects reconstructed using the TPF flap. The etiology of these defects were: congenital, trauma, tumor and complication of maxillofacial surgery. Outcomes reviewed include functional and cosmetic results, and complications. Literature review of eyelid reconstruction using TPF flap is performed. Results: All patients achieved an acceptable cosmetic and functional outcome. There was resolution of both lagophthalmos and severe exposure keratopathy in all patients. Post-operative complication occurred in one patient and involved necrosis of the skin graft over the TPF flap. This was managed with a second skin graft several weeks later with satisfactory results. Conclusion: Trauma, tumors, congenital craniofacial anomalies and maxillofacial surgery for resection of sinus tumors can cause large eyelid defects. Small eyelid defects can be repaired with lid sharing procedures but for exceptionally large defects, these techniques become insufficient. TPF flap is an excellent option and can be used in these cases to achieve an acceptable cosmetic and functional outcome with preservation of the globe. TPF flap is a versatile option which can reconstruct a large eyelid defect with one procedure. Complications can be avoided with meticulous attention to detail. TPF flap is best suited for upper and/or lower eyelid defects which are categorized as Type III or Type IV.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

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Temporoparietal Fascia Flap for Complex Eyelid Reconstruction: A Case Series and Literature Review

Jain

Rubin²,

Cho

et al. 2023

FACE

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“…The patients in our study required periocular and eyelid reconstruction. The reconstruction should ensure normal eyelid function and focus on eye protection [ 11 ]. The eyelid is divided into two layers, the anterior skin-muscle and the posterior tarso-conjuctival lamella.…”

Section: Discussionmentioning

confidence: 99%

“…The hard palate mucosa provides an ideal option for the reconstruction of the eyelid inner layer because the donor site is in a concealed location and can heal itself [ 4 – 7 ]. Because the forehead area is non-hair bearing and relatively thin and has a color and texture similar to that of the midface [ 8 ], frontal axial pattern flaps such as the frontal branch flap of superficial temporal artery and the supratrochlear artery flap [ 9 – 11 ] are ideal choices for resurfacing huge midface defect. Therefore, frontal axial pattern flap combined with hard palate mucosa transplant might be a suitable method for reconstructing these defects.…”

Section: Introductionmentioning

confidence: 99%

Frontal axial pattern flap combined with hard palate mucosa transplant in the reconstruction of midfacial defects after the excision of huge basal cell carcinoma

Qing

Cen

et al. 2018

World J Surg Onc

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BackgroundOur article describes our experience with using a frontal axial pattern flap combined with hard palate mucosa transplant to reconstruct midfacial defects after the excision of huge basal cell carcinoma.MethodsWe retrospectively reviewed four patients diagnosed with midface huge basal cell carcinoma through biopsy between 2014 and 2016. Both the eyelid and nose were involved in all the patients. All the patients underwent the studied surgical method and were followed up from 12 to 36 months.ResultsAll the patients preserved good eyelid function and relatively good esthetic satisfaction. No basal cell carcinoma recurred.ConclusionsThis combined surgical procedure is a good method for reconstructing defects after the excision of huge basal cell carcinomas in the midface.

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Fornix Reconstruction

Singh

Rootman

2023

Current Practices in Ophthalmology

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Total lower eyelid reconstruction with superficial temporal fascia flap and porous polyethylene implant: A case report

Cited by 8 publications

References 10 publications

Temporoparietal Fascia Flap for Complex Eyelid Reconstruction: A Case Series and Literature Review

Temporoparietal Fascia Flap for Complex Eyelid Reconstruction: A Case Series and Literature Review

Frontal axial pattern flap combined with hard palate mucosa transplant in the reconstruction of midfacial defects after the excision of huge basal cell carcinoma

Fornix Reconstruction

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