Related Experiment Video
Updated: May 17, 2026
03:59
Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Partial and total lower lid reconstruction: our experience with 41 cases
Paolo Fogagnolo1, Giacomo Colletti, Davide Valassina
1G.B. Bietti Foundation for Study and Research in Ophthalmology-IRCCS, Rome, Italy. fogagnolopaolo@googlemail.com
Summary
Local flaps are effective for lower eyelid reconstruction after epithelioma removal. This study shows high success rates and good functional and cosmetic outcomes, establishing local flaps as the gold standard.
Area of Science:
- Ophthalmology
- Dermatology
- Plastic Surgery
Background:
- Epitheliomas frequently affect the lower eyelid, necessitating surgical reconstruction.
- Reconstruction aims to restore both function and aesthetics of the eyelid.
Purpose of the Study:
- To evaluate the experience and outcomes of using local flaps for lower eyelid reconstruction in patients with epitheliomas.
Main Methods:
- Retrospective analysis of 41 patients with basal cell or squamous cell carcinoma of the lower eyelid.
- Surgical reconstruction involved direct closure, Tenzel flaps, lateral advancement flaps, or cheek advancement flaps, with or without mucosal grafts.
- Success rates, cosmetic, and functional results were assessed post-operatively.
Main Results:
- Local flaps demonstrated high viability, with minor complications in cheek flaps and mucosal grafts.
- All reconstructions achieved normal lid function and acceptable cosmetic results.
- Four cases experienced complications (ectropion, epiphora), successfully managed surgically.
Conclusions:
- Local flaps are the preferred method for lower eyelid reconstruction due to their reliability and excellent outcomes.
- Detailed surgical techniques can optimize results in these complex reconstructions.
