RECONSTRUCTION OF THE TOTAL LOWER EYELID DEFECT - USEFUL MODIFICATIONS


GUZEL M., YILDIRIM I., AYGIT A., AYDIN Y. , BAYRAMICLI M.

EUROPEAN JOURNAL OF PLASTIC SURGERY, vol.18, no.4, pp.171-174, 1995 (Journal Indexed in SCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 18 Issue: 4
  • Publication Date: 1995
  • Doi Number: 10.1007/bf00207563
  • Title of Journal : EUROPEAN JOURNAL OF PLASTIC SURGERY
  • Page Numbers: pp.171-174

Abstract

Various techniques have been used for reconstruction of extensive lower eyelid defects, but it is difficult to achieve results which are satisfactory, both from a functional and cosmetic viewpoint. In the past three years, ten patients have been reconstructed using a cheek flap over a chondromucosal graft, after extensive resection of lower eyelid tumors. As a modification of the classic method, the dermal layer of the cheek flap was sutured to the inferior orbital rim to prevent late sagging and ectropion. In addition, a tie-over pressure dressing on the inner aspect of the lid was used to give good contact between the chondromucosal graft and the flap. At a one year follow-up, the results were judged to be good, both aesthetically and functionally.