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Related Experiment Video

Updated: Mar 7, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Published on: July 8, 2025

A New Approach to Upper Eyelid Reconstruction.

A Bulla^1,2, C Vielà³, L Fiorot³

¹Department of Surgical, Microsurgical and Medical Sciences, Plastic Surgery Unit, University of Sassari, Viale San Pietro 43, 07100, Sassari, Italy. abulla80@gmail.com.

Aesthetic Plastic Surgery

|February 17, 2017

Summary

This summary is machine-generated.

This study introduces a new single-stage surgical technique for upper eyelid reconstruction using an orbicularis oculi myocutaneous flap. The novel approach offers safe, versatile, and aesthetically pleasing results for eyelid defect repair.

Keywords:

Blepharoplasty Eyelid reconstruction Skin cancer

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Area of Science:

Ophthalmology
Plastic Surgery
Reconstructive Surgery

Background:

Reconstructing large upper eyelid defects presents significant anatomical and functional challenges.
Existing methods often require multiple stages, increasing complexity and patient burden.

Observation:

A novel single-stage orbicularis oculi myocutaneous flap technique was developed for upper eyelid reconstruction.
The flap is designed within the standard blepharoplasty skin excision pattern, allowing for advancement to cover defects.

Findings:

The technique was successfully applied to six patients between 2012 and 2015.
All flaps demonstrated complete survival without necrosis, and no revisions were needed.
Aesthetic outcomes were highly satisfactory, with no tumor recurrence observed.

Implications:

This new approach offers a safe and versatile method for upper eyelid reconstruction, particularly for median or paramedian defects.
It maximizes cosmetic outcomes while adhering to oncological principles of radicality.
The procedure ensures both functional and aesthetic restoration in a single stage.