ArticleArchives of plastic surgery2025
Reconstruction of the Posterior Lamella of the Lower Eyelid Using a Long L-Shaped Periosteal Flap: Technical Modification and Literature Review.
Article in Archives of plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Extended Superolateral Periosteal Flap for Single-Stage Total Lower Eyelid Reconstruction.Archives of plastic surgery · 2026Article
- A Novel Technique for Reconstruction of the Canthal Ligaments of the Lower Eyelid Using Barbed Sutures.Journal of clinical medicine · 2026Article
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4 authors.
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Abstract
Free tarsal grafts, the palatal mucosa, and auricular cartilage are commonly used in the reconstruction of the posterior lamella of the eyelid. However, reports describing the sole use of periosteal flaps are limited. We described the cases of two female patients, aged 72 and 85 years, with sebaceous gland and basal cell carcinomas of the left lower eyelids, respectively, who underwent reconstruction with a long L-shaped periosteal flap. The periosteal flap, measuring approximately 6 × 25 mm, was harvested along the vertical axis over the lateral orbital rim, extending across the frontozygomatic suture with the pivot positioned posteriorly at Whitnall's tubercle. This technique enabled the reconstruction of the posterior lamella of the lower eyelid. At the 1-year follow-up, mild sagging of the reconstructed area was observed in the second case; however, no major complications occurred. Thus, the long L-shaped periosteal flap was useful for reconstructing the lateral lower eyelid.
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