Reconstruction Following Subtotal Full-Thickness Upper Eyelid Resection with Preservation of the Lid Margin |
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Authors: | Jos C Paarlberg Willem A van den Bosch Dion Paridaens |
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Institution: | 1. Department of Oculoplastic &2. Orbital Surgery, Rotterdam Eye Hospital, Rotterdam, the Netherlands |
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Abstract: | Purpose: To describe a modification of a technique for upper eyelid reconstruction previously described by Patrinely et al. Methods: Radical excision of a large adenoid cystic carcinoma of the upper eyelid resulted in a subtotal full-thickness eyelid defect with preservation of 2 mm of eyelid margin. Reconstruction was performed with a free transconjunctival graft of maximum size from the contralateral upper eyelid, an overlying bipedicled skin-orbicularis oculi muscle flap and a free skin graft. Results: With this one-step technique, a good cosmetic and functional result could be obtained. Conclusion: If the eyelid margin can be spared, reconstruction of even very large upper eyelid defects with a modification of the technique reported by Patrinely et al. may yield a good result. |
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Keywords: | Upper eyelid reconstruction lid margin-sparing tarsoconjunctival graft bipedicled flap eyelid carcinoma |
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