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A Novel Reconstructive Procedure for the Divided Nevus of the Eyelids Using a Tissue Expander.
Kosaku Yamamichi1, Masaaki Kosaka1
1Department of Plastic and Reconstructive Surgery, Fukuoka Sanno Hospital, Fukuoka, Japan; and Department of Plastic and Reconstructive Surgery, International University of Health and Welfare Hospital, Tochigi, Japan.
Plastic and Reconstructive Surgery. Global Open
|March 16, 2017
Summary
A novel surgical technique using extended cheek flaps and tissue expanders offers improved reconstruction for medium-sized divided nevi of the eyelids. This method aims for better cosmetic outcomes, especially in diverse patient populations.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Dermatology
Background:
- Reconstruction of medium and large divided nevi of the eyelids often utilizes expanded or non-expanded local flaps and skin grafts.
- Current methods may yield suboptimal cosmetic results, particularly in Asian patients due to variations in skin type and characteristics.
Purpose of the Study:
- To introduce a novel surgical technique for reconstructing medium-sized divided nevi of the eyelids.
- To evaluate the efficacy of an extended cheek flap combined with a tissue expander for eyelid reconstruction.
Main Methods:
- A new surgical procedure was developed involving an extended cheek flap and a tissue expander.
- The technique reconstructs both upper and lower eyelids concurrently using divided flaps.
Main Results:
- The presented method demonstrates effectiveness in treating medium-sized divided nevi of the eyelids.
- The technique shows potential for future application in total eyelid reconstruction.
Conclusions:
- The novel extended cheek flap and tissue expander technique provides a viable and effective option for eyelid reconstruction in patients with medium-sized divided nevi.
- This approach may offer superior cosmetic results compared to traditional methods, with potential for broader application in complex eyelid reconstructions.
