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[Two-subunit lower eyelid reconstruction in oncology].

V Commenge1, C Berthier1, D Gangloff1

  • 1Département de chirurgie, université de Toulouse, oncopole Claudius-Régaud, 31000 Toulouse, France.

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|November 25, 2025
PubMed
Summary

This study presents a novel surgical technique for lower eyelid defect reconstruction using upper eyelid tissue. The method offers effective cutaneous coverage and functional tissue restoration for various eyelid defects.

Keywords:
FlapGraftGreffeLambeauLower eyelidReconstruction de la paupière inférieureTarsoconjunctival graft

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Area of Science:

  • Ophthalmic Plastic Surgery
  • Reconstructive Surgery

Background:

  • Lower eyelid defects pose reconstructive challenges, impacting aesthetics and function.
  • Existing methods may have limitations in achieving optimal outcomes for complex defects.

Purpose of the Study:

  • To describe a reconstructive strategy for lower eyelid defects involving two aesthetic subunits.
  • To evaluate the efficacy of using bilateral upper eyelid dermatochalasis for reconstruction.

Main Methods:

  • Utilizing a homolateral heteropalpebral flap combined with a contralateral upper eyelid skin graft for cutaneous coverage.
  • Employing a composite tarsoconjunctival graft from healthy eyelids for full-thickness defects.

Main Results:

  • The proposed technique provides satisfactory cutaneous coverage for lower eyelid defects.
  • Composite tarsoconjunctival grafts ensure functionally competent tissue reconstruction in full-thickness cases.

Conclusions:

  • Bilateral upper eyelid dermatochalasis is a viable source for lower eyelid reconstruction.
  • This approach offers a reliable solution for restoring both form and function in lower eyelid defects.