Volume 10, Issue 2 (2021)                   WJPS 2021, 10(2): 98-102 | Back to browse issues page

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Mori S, Di Monta G, Marone U, Botti G. Lower Eyelid Orbicularis Oculi Myocutaneous Flap: A Feasible Technique for Full Thickness Upper Eyelid Reconstruction. WJPS 2021; 10 (2) :98-102
URL: http://wjps.ir/article-1-766-en.html
Lower Eyelid Orbicularis Oculi Myocutaneous Flap: A Feasible Technique for Full Thickness Upper Eyelid Reconstruction
Stefano Mori1 , Gianluca Di Monta * 1, Ugo Marone1 , Gerardo Botti1
1- Istituto Nazionale dei Tumori Fonda-zione G. Pascale Via M. Semmola, 52 – 80131 Naples, Italy
Abstract:   (2585 Views)
Basal cell carcinoma (BCC) is the most frequent malignant eyelid tumor, followed by squamous cell carcinoma, sebaceous gland carcinoma and ma-lignant melanoma. These eyelid malignancies represent main reason for eye-lid reconstruction in ophthalmoplastic surgery which can be challeng-ing.Lower eyelid orbicularis oculi myocutaneous flap was used for recon-structive purpose in four consecutive patients with a full thickness upper eyelid BCC. Digital photographs were taken at baseline, 1 month, 3 and 6 months after surgery to assess clinical outcome.Four patients underwent full thickness upper eyelid reconstruction with a lower eyelid orbicularis oculi myocutaneous flap after BCC radical resection with 3-mm safe margins. Histological subtypes showed tumor complete excision in all cases. No pa-tient showed local recurrence at a mean 12 months follow-up.The high functional-esthetical success rate of the modified Hughes procedure corre-sponds with the beneficial results, which have been reported in previous publications. None of the treated patients complained about forced tempo-rary closure of eyelid. In all four cases treated, aesthetic and functional out-come were satisfactory.
Keywords: Basal cell carcinoma, Eyelid, Myocutaneous
Full-Text [PDF 548 kb]   (1328 Downloads)    
Type of Study: case report | Subject: Special
ePublished: 2021/06/25
References
1. Bickle K, Bennett RG: Tripier flap for medial lower eyelid reconstruction. Dermatol Surg 2008;34:1545-1547. [DOI:10.1111/j.1524-4725.2008.34319.x]
2. Jelks GW, Glat PM, Longaker MT. Medial canthal reconstruction using a medially based upper eyelid myocutaneous flap. Plast Reconstr Surg 2002;110:1636-43. [DOI:10.1097/00006534-200212000-00002]
3. Yoshimura Y, Nakajima T, Yoneda K: Reconstruction of the entire upper eyelid area with a subcutaneous pedicle flap based on the orbicularis oculi muscle. Plast Reconst Surg 1991;88:136-139. [DOI:10.1097/00006534-199107000-00024]
4. Actis AG, Actis G: Reconstruction of the upper eyelid with flaps and free grafts after excision of Basal cell carcinoma. Case Rep Ophthalmol. 2011 Sep;2(3):347-53. [DOI:10.1159/000334674]
5. L. Tirone, F. Schonauer, G. Sposato, G. Molea: Reconstruction of lower eyelid and periorbital district: an orbicularis oculi myocutaneous flap. Journal of Plastic. Reconstructive & Aesthetic Surgery 2009; 62: 1384-1388. [DOI:10.1016/j.bjps.2008.06.038]
6. Hishmi A, Koch H, Matthaei M, Bölke E, Cursiefen C, Heindl L: Modified Hughes procedure for reconstruction of large full‑thickness lower eyelid defects following tumor resection. Eur J Med Res 2016; 21:27. [DOI:10.1186/s40001-016-0221-1]
7. Jordan P. Sand, Bovey Z. Zhu, Shaun C. Desai: Surgical Anatomy of the Eyelids. Facial Plast Surg Clin. 2016;24: 89-95. [DOI:10.1016/j.fsc.2015.12.001]
8. Spinelli HM, Jelks GW: Periocular reconstruction: a systematic approach. Plast Reconstr Surg 1993;91:1017-24. [DOI:10.1097/00006534-199305000-00007]
9. Moretti EA, Gomez Garcia F: Myocutaneous flap (V-Y de¬sign) from the nasal bridge for medial canthal reconstruc¬tion Ophthal Plast Reconstr Surg 1998;14:298-301. [DOI:10.1097/00002341-199807000-00015]
10. Perry JD, Taban M: Superiorly based bilobed flap for inferi¬or medial canthal and nasojugal fold defect reconstruction. Ophthal Plast Reconstr Surg 2009;25:276-9. [DOI:10.1097/IOP.0b013e3181ac76dd]
11. Kim JH, Kim JM, Park JW, et al.: Reconstruction of the me¬dial canthus using an ipsilateral paramedian forehead flap. Arch Plast Surg 2013;40:742-7. [DOI:10.5999/aps.2013.40.6.742]
12. Porfiris E, Georgiou P, Popa CV, et al.: Island orbicularis ocu¬lis myocutaneous flap from the upper eyelid for lower eyelid reconstruction. Eur J Plast Surg 1998;21:246-8. [DOI:10.1007/s002380050083]
13. Leibovitch I, Selva D, Davis G, Ghabrial R: Donor site morbidity in free tarsal grafts. Am J Ophthalmol 2004;138:430-433. [DOI:10.1016/j.ajo.2004.04.061]
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