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Upper eyelid island orbicularis oculi myocutaneous flap for periorbital reconstruction
E Porfiris1, D Kalokerinos, A Christopoulos
1Department of Plastic and Reconstructive Surgery, METAXA District and Cancer Hospital, Piraeus, Greece.
Purpose:
To describe the upper eyelid island orbicularis oculi myocutaneous flap, medially or laterally based, for reconstruction of periorbital defects.
Methods:
During the past three years we have used the island orbicularis oculi myocutaneous flap in 62 patients with tumors of the periorbital area, with the following indications: (a) anterior lamellar defects of the medial aspect of the upper eyelid, when the peripheral arcade is intact; (b) up to 2/3 anterior lamellar lower eyelid defects; (c) inner and outer canthus defects; and (d) defects of the peripalpebral area (the lateral half of the eyebrow, bridge of the nose and suprazygomatic areas).
Results:
The flap proved to be flexible, safe, relatively simple, and provided good functional and aesthetic results. Complications were minimal.
Conclusions:
The upper eyelid island orbicularis oculi myocutaneous flap may be a useful tool for periorbital reconstruction.