Double-bridged flap procedure for nonmarginal, full-thickness, upper eyelid reconstruction

Area of Science:

• Ophthalmology
• Plastic Surgery
• Reconstructive Surgery

Background:

• Full-thickness upper eyelid defects pose reconstructive challenges.
• Preserving the eyelid margin is crucial for ocular function and aesthetics.
• Existing techniques may not adequately address complex eyelid defects.

Observation:

• The double-bridged flap technique was utilized for upper eyelid reconstruction.
• The procedure was performed on two patients with full-thickness eyelid defects.
• Surgical technique was described and illustrated.

Findings:

• Both patients achieved excellent functional and cosmetic results.
• One patient required a secondary frontalis sling procedure for residual ptosis.
• The technique successfully spared the upper eyelid margin.

Implications:

• Double-bridged flap reconstruction is a viable option for eyelid margin-sparing repair.
• This method is particularly beneficial for defects resulting from tumor excision or scarring.
• It offers a promising solution for severe cicatricial retraction of the upper eyelid.