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A technique for reconstruction of upper lid marginal defects
1Royal Victoria Eye and Ear Hospital, Melbourne, Australia. f.irvine@btopenworld.com
The British Journal of Ophthalmology
|February 25, 2003
Summary
This study presents a novel one-stage technique for repairing large upper eyelid defects using local advancement flaps. The method offers good cosmetic outcomes for eyelid reconstruction, with modifications to prevent complications.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Reconstructive Surgery
Background:
- Large full-thickness upper eyelid defects often require complex reconstruction.
- Traditional methods like the Cutler Beard procedure utilize the lower eyelid for repair.
- A need exists for simpler, effective techniques for upper eyelid defect closure.
Purpose of the Study:
- To describe a one-stage surgical technique for repairing large horizontal upper eyelid defects.
- To evaluate the outcomes and complications of this novel advancement flap technique.
Main Methods:
- Retrospective review of eight cases undergoing upper eyelid defect repair.
- Procedures performed by a single surgeon utilizing local posterior and anterior lamella advancement flaps.
- Lesion removal under frozen section control with a mean follow-up of 35 months.
Main Results:
- All patients achieved satisfactory cosmetic results following the procedure.
- One case experienced a recurrence of the upper eyelid lesion.
- Two patients reported corneal irritation due to lanugo hairs, leading to technique modification.
Conclusions:
- The described advancement flap technique provides a reliable method for repairing large upper eyelid marginal defects.
- The technique is associated with good cosmetic results and minimal significant complications after modification.
- Local advancement flaps offer a viable alternative for upper eyelid reconstruction.