A New Approach to Upper Eyelid Reconstruction

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.