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Lower eyelid repair utilising triangular skin flaps with subcutaneous pedicles
M W Destro1, A L da Silva, M B Speranzini
1University of Minas Gerais Medical School, São Paulo, Brazil.
British Journal of Plastic Surgery
|July 1, 1991
Summary
This study details a surgical technique for lower eyelid repair using a triangular flap. The method proved effective for various eyelid defects, offering a versatile solution for reconstructive surgery.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Reconstructive Surgery
Background:
- Lower eyelid defects can result from trauma, tumor resection, or congenital conditions.
- Effective reconstruction is crucial for maintaining ocular function and aesthetics.
Purpose of the Study:
- To describe and evaluate a surgical technique for lower eyelid repair.
- To assess the feasibility and outcomes of using a triangular flap with or without a nasal septum chondromucosal graft.
Main Methods:
- A retrospective analysis of 54 patients undergoing lower eyelid repair between 1984 and 1989.
- Utilized a triangular flap with a subcutaneous pedicle for reconstruction.
- Supplemented with nasal septum chondromucosal grafts in complex cases.
Main Results:
- Fifty-five lower eyelid repairs were performed.
- Successful reconstruction was achieved in 39 cases using only the triangular flap.
- Sixteen cases required the addition of a nasal septum chondromucosal graft.
Conclusions:
- The described triangular flap technique is a feasible and effective method for lower eyelid reconstruction.
- This approach is suitable for a range of eyelid defects, from simple to complex.
- The technique offers a reliable option for plastic and reconstructive surgeons.