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Novel Reconstructive Technique for Lower Eyelid Defects: Marginal Approach for Releasing the Lid with Closure
Anna March De Ribot1, Santiago Ortiz-Pérez2,3,4,5, Francesc March De Ribot6
1Department of Ophthalmology, Whangarei Hospital, Whangarei 0148, New Zealand.
Journal of Clinical Medicine
|February 13, 2025
Summary
The novel MARCH technique offers a single-step, tissue-sparing surgical solution for lower eyelid defect reconstruction. This minimally invasive approach shows excellent outcomes for medium to large defects.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Reconstructive Surgery
Background:
- Introducing the Marginal Approach for Releasing the lid with Closure Handling (MARCH) technique.
- A novel, single-step, tissue-sparing surgical approach.
- Designed for reconstructing medium to large full-thickness lower eyelid defects.
Purpose of the Study:
- To describe the MARCH technique.
- To evaluate the outcomes of the MARCH technique in patients with lower eyelid defects.
- To assess the efficacy and safety of this novel surgical approach.
Main Methods:
- Single-center case series.
- Description of the MARCH technique involving inferior cantholysis, lamellar splitting, and flap creation.
- Collection of demographic data, defect size, histology, and postoperative outcomes.
Main Results:
- Fifteen patients (9 male, 6 female) with a mean age of 73.9 years underwent the procedure.
- Mean defect size was 68.7% of the lid length, with local anesthesia used in 86.7% of cases.
- All patients achieved good results with no significant complications.
Conclusions:
- The MARCH technique is an excellent first-line approach for reconstructing medium to large full-thickness lower eyelid defects.
- Its single-step, tissue-sparing, and minimally aggressive nature are advantageous.
- Potential for improved eyelash positioning and lacrimal system restoration warrants further investigation with larger patient cohorts and longer follow-up.
