A Novel Technique in One-Staged Reconstruction of Large Lower Eyelid Defects: Orbicularis Oculi Myoperiosteal Flap

Proper reconstruction of the lower eyelids is essential to preserve their function and aesthetic integrity. However, there are limited studies on lower eyelid reconstruction in specific patient populations without available donor sites, such as pediatric patients and those with common skin lesions, severe facial scars, and recurrent lower eyelid tumors. This study aims to analyze the results of a novel technique, the orbicularis oculi myoperiosteal flap, in a challenging case: a pediatric patient with xeroderma pigmentosum who lacks skin laxity and has limited tissue availability. Based on this single case, the proposed orbicularis oculi myoperiosteal flap appears to be a promising technique for lower eyelid reconstruction in challenging scenarios, offering proper lid function and acceptable aesthetic results without significant donor-site morbidity in a single stage. Therefore, the orbicularis oculi myoperiosteal flap should be considered an essential technique in the armamentarium of reconstructive surgeons.