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Updated: Jan 2, 2026
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Reconstruction of Large Upper Eyelid Defects With Bilobed Flap and Tarsoconjunctival Graft
Bulent Yazici1, Can Ozturker2, Ayse Cetin Efe1
1From the Department of Ophthalmology, Uludag University, Bursa.
Purpose:
To describe the reconstruction of large upper eyelid defects with bilobed flap and tarsoconjunctival graft.
Methods:
The medical records of 5 patients who underwent upper eyelid tumor excision and eyelid reconstruction with a bilobed flap were reviewed. Various parameters, including demographic and clinical data, defect diameter, primary defect closure, complications, and follow-up time, were recorded. After tumor excision, the posterior lamella was reconstructed with an autologous tarsoconjunctival graft and anterior lamella with a superiorly based lateral bilobed flap.
Results:
All 5 patients (3 women, 2 men; age: 42-87 years) had malignant epidermal (n = 2) or adnexal (n = 3) tumors. Mean excisional defect diameter was between 18.5 and 25 mm. In all patients, the anterior lamellar defect was closed primarily with a bilobed flap. After surgery, a total of 4 complications occurred in 3 patients. One patient required orbital exenteration because of tumor recurrence. In the other patients, the functional and esthetic results were satisfactory. Follow-up time ranged from 4 to 102 months.
Conclusion:
Lateral periorbital bilobed flap can be a good alternative for the single-stage reconstruction of large upper eyelid defects.
