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Upper lid musculocutaneous flap.

J O Guerrissi1, J L Cabouli

  • 1Division of Plastic and Reconstructive Surgery Hospital Ramos Mejĭa, Buenos Aires, Argentina.

Annals of Plastic Surgery
|August 1, 1988
PubMed
Summary

This study details a musculocutaneous flap technique using the upper eyelid for orbital reconstruction. The method successfully reconstructed various facial defects, preserving eyelid function and achieving good outcomes.

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Area of Science:

  • Oculoplastic Surgery
  • Reconstructive Surgery
  • Anatomy

Background:

  • Reconstruction of orbital and facial defects often requires versatile tissue transfer techniques.
  • The upper eyelid offers a potential source for reconstructive flaps due to its rich vascularity and anatomical location.

Observation:

  • A musculocutaneous flap was designed and harvested from the upper eyelid.
  • The flap's pedicle could be based medially or laterally, preserving its blood supply.
  • Innervation could be maintained when using a lateral pedicle, aiding in restoring lower eyelid function.

Findings:

  • Twenty-two patients underwent reconstruction for lower lid, upper lid, and lateral nasal wall defects using this technique.
  • All flaps demonstrated successful survival.
  • Minor donor site deformities occurred, particularly when eyebrows were incorporated into the flap.

Implications:

  • This upper eyelid musculocutaneous flap is a viable option for complex orbital and facial reconstructions.
  • Preservation of innervation offers potential for functional recovery of eyelid position and tonus.
  • Careful flap design can minimize donor site morbidity.

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