ArticleInternational journal of ophthalmology2015
Extensive full-thickness eyelid reconstruction with rotation flaps through "subcutaneous tunnel" and palatal mucosal grafts.
Article in International journal of ophthalmology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 10 citations in OpenAlex.
- Clinical observation on the repair of inferomedial eyelid defects with temporal island flaps pedicled with the orbicularis oculi muscle.International ophthalmology · 2025Article
- Auricular skin-cartilage sandwich graft technique for full-thickness eyelid reconstruction.Indian journal of ophthalmology · 2022Article
- Advancements in the repair of large upper eyelid defects: A 10-year review.Orbit (Amsterdam, Netherlands) · 2021Review
- Early wound healing of the hard-palate mucosal harvest site using artificial dermis fixation by a transparent plate.Archives of plastic surgery · 2021Article
- The Use of Composite Flaps in the Management of Large Full-Thickness Defects of the Lower Eyelid.Medicine · 2016Observational
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo reconstruct the extensive full-thickness defects of eyelids is a challenge for the plastic surgeon because of their complex anatomy and special functions. This article presents and discusses an improved surgical technique in which the orbicularis oculi myocutaneous flap is rotated through a "subcutaneous tunnel" in conjunction with a palatal mucosal graft employed for lining.
methodsData from 22 eyes with extensive full-thickness eyelid defects from various causes between 2009 and 2013 were analyzed in this study. After the different layers of eyelid were separated completely, a temporally based orbicularis oculi myocutaneous flap was designed following fishtail lines and was mobilized, leaving the base of the pedicle intact with a submuscular tissue attachment. The flap was then rotated through a "subcutaneous tunnel" to the defect, and the donor site was closed primarily. Posterior lamellar reconstruction was performed with a mucosal graft harvested from the hard palate.
resultsAll the flaps were survived without any healing problems. There was no corneal irritation, flap contraction, or significant donor-site morbidity in the follow-up period. The incision scars were almost invisible. The defects were repaired completely, and the evaluations showed satisfactory function and appearance.
conclusionThis technique is an improved single-stage operation and can be applied to repair large, full-thickness eyelid defects from various causes. With our method, the functional and aesthetic results can be obtained in either the upper or lower eyelids.
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