Upper eyelid island orbicularis oculi myocutaneous flap for periorbital reconstruction |
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Authors: | Porfiris E Kalokerinos D Christopoulos A Damilakos P Ioannidis A Georgiou P |
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Institution: | Department of Plastic and Reconstructive Surgery, METAXA District and Cancer Hospital, Piraeus, Greece. |
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Abstract: | PURPOSE: To describe the upper eyelid island orbicularis oculi myocutaneous flap, medially or laterally based, for reconstruction of periorbital defects. METHODS: During the past three years we have used the island orbicularis oculi myocutaneous flap in 62 patients with tumors of the periorbital area, with the following indications: (a) anterior lamellar defects of the medial aspect of the upper eyelid, when the peripheral arcade is intact; (b) up to 2/3 anterior lamellar lower eyelid defects; (c) inner and outer canthus defects; and (d) defects of the peripalpebral area (the lateral half of the eyebrow, bridge of the nose and suprazygomatic areas). RESULTS: The flap proved to be flexible, safe, relatively simple, and provided good functional and aesthetic results. Complications were minimal. CONCLUSIONS: The upper eyelid island orbicularis oculi myocutaneous flap may be a useful tool for periorbital reconstruction. |
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