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Related Experiment Video

Updated: Jun 8, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
06:32

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

Simultaneous upper and lower eyelid reconstruction using a first web space free flap.

Han Koo Kim1, Tae Hui Bae, Woo Seob Kim

  • 1Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital, Seoul, Korea.

Ophthalmic Plastic and Reconstructive Surgery
|October 7, 2010
PubMed
Summary

This study details reconstructing near-total eyelid defects using a first web space free flap. This microsurgical technique offers a viable alternative for eyelid reconstruction, particularly after severe burns.

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Area of Science:

  • Ophthalmology
  • Microsurgery
  • Plastic Surgery

Background:

  • Chemical burn injuries can cause extensive damage to facial structures, including near-total upper and lower eyelid defects.
  • Reconstruction of total eyelid defects presents significant challenges, especially when local facial tissues are compromised.

Observation:

  • A case study involving a patient with near-total upper and lower eyelid defects following a chemical burn.
  • A first web space free flap was harvested from the ipsilateral foot and transferred to reconstruct the eyelid defects.
  • Microsurgical anastomosis was performed between the flap's vascular pedicle and the superficial temporal artery and veins.

Findings:

  • The flap successfully restored eyelid structure, with the inner layer sutured to conjunctival flaps and the outer layer to the skin defect.

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Surgical Correction for Pediatric Epiblepharon and Trichiasis
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Surgical Correction for Pediatric Epiblepharon and Trichiasis

Published on: July 8, 2025

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Last Updated: Jun 8, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
06:32

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

Surgical Correction for Pediatric Epiblepharon and Trichiasis
03:59

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Published on: July 8, 2025

  • Three flap-debulking procedures were performed post-surgery to optimize the aesthetic outcome.
  • Good postoperative aesthetic results were achieved, with minor complications including focal symblepharon and sebum formation.
  • Implications:

    • The first web space free flap technique is a potential alternative for total eyelid reconstruction.
    • This method is particularly valuable for patients with extensive tissue loss due to burns or trauma, where local tissue is unavailable.
    • Further research may explore refining this technique for improved functional and aesthetic outcomes in complex eyelid reconstructions.