Related Experiment Videos
Lower eyelid reconstruction using pedicled skin flap and palatal mucoperiosteum
M J Perry1, J Langtry, I C Martin
1Department of Dermatology, Sunderland District General Hospital, United Kingdom.
Background:
Full-thickness lower eyelid reconstruction requires functional as well as aesthetic considerations to be successful in the long term. The three elements necessary for a stable result are skin, mucosa, and a semirigid "skeleton" to provide the support that prevents the development of ectropion. A number of techniques combining these elements are described in the literature, with reconstruction in one or more stages.
Objective:
We report a simple method of reconstruction of a full-thickness lower eyelid defect, in which palatal mucoperiosteum provided both the mucosal and the "skeletal" components following tumor excision.
Methods:
Literature review and report of illustrated case.
Results:
A cosmetically acceptable result with no functional deficit or donor site morbidity.
Conclusion:
Palatal mucoperiosteum provides an abundant supply of tissue that may be used successfully in the reconstruction of the lower eyelid. It functions both as a mucosal lining in addition to a semirigid supporting framework.