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Chimeric Upper Eyelid--Supraorbital Flap Reconstruction.

Eyal Mordechai Meir Schechter¹, Damir Kosutic¹

¹Department of Plastic and Reconstructive Surgery, The Christie NHS Foundation Trust, Manchester, United Kingdom.

Plastic and Reconstructive Surgery. Global Open

|June 20, 2015

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This study introduces a novel chimeric upper eyelid-supraorbital flap for reconstructing extensive facial defects after malignant melanoma excision. This technique successfully restored both function and appearance in a complex case involving multiple facial subunits.

Area of Science:

Plastic Surgery
Ophthalmology
Dermatologic Surgery

Background:

Reconstruction of facial defects involving multiple aesthetic subunits, such as the medial canthus, nasal sidewall, and cheek, presents significant challenges.
Wide local excision for malignant melanoma can result in complex defects requiring simultaneous restoration of orbital function and facial appearance.

Observation:

A patient with biopsy-proven malignant melanoma underwent wide local excision, creating a defect involving the lower eyelid, entire nasal sidewall, and infraorbital cheek.
The first successful application of a chimeric upper eyelid-supraorbital flap was utilized for reconstruction.

Findings:

The chimeric upper eyelid-supraorbital flap enabled simultaneous reconstruction of the lower eyelid, nasal sidewall, and infraorbital areas.

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This single-stage reconstruction addressed multiple facial aesthetic subunits with excellent tissue match, functional restoration, and aesthetic outcomes.

Implications:

This flap offers a versatile and effective solution for complex facial reconstructions, particularly after oncologic resections.
It highlights the potential for improved functional and aesthetic results in challenging craniofacial reconstructions.
The technique provides a valuable option for plastic surgeons managing extensive facial defects.