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Mustardé flap lower lid reconstruction after malignancy
Ophthalmology
|April 1, 1980
Summary
The Mustardé rotational cheek flap effectively reconstructs lower eyelids, but complications like sagging and ectropion can occur. Careful flap design and high suturing are crucial for optimal outcomes in lower eyelid reconstruction.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Reconstructive Surgery
Background:
- Lower eyelid defects pose reconstructive challenges.
- The Mustardé rotational cheek flap is a recognized technique for lower eyelid reconstruction.
Purpose of the Study:
- To evaluate the long-term results and complications of the Mustardé rotational cheek flap for lower eyelid reconstruction.
- To identify key surgical modifications to improve outcomes.
Main Methods:
- Retrospective review of 55 patients undergoing lower eyelid reconstruction with the Mustardé flap.
- Preoperative and postoperative photographic documentation.
- Long-term follow-up (1-14 years, mean 7 years).
Main Results:
- The Mustardé flap demonstrated efficacy in lower eyelid reconstruction.
- Frequent complications included flap sagging, downward contraction, and ectropion.
- Optimal flap placement and secure canthal tendon fixation were noted as critical.
Conclusions:
- The Mustardé rotational cheek flap is a viable option for lower eyelid reconstruction.
- Meticulous surgical technique, including high flap rotation and secure canthal fixation, is essential to minimize complications like ectropion and sagging.