Summary
Split or full thickness eyelid defects resulting from tumor destruction or surgical excision present a dilemma for plastic and reconstructive surgeons. Full thickness eyelid replacement requires composite grafting of the skin, together with tarsal support of its substitute and mucosa. The flap described by Fricke in 1829 was used for reconstruction of anterior lamella in six lower eyelid defects. In three of our cases chondromucosal grafts taken from nasal septum were utilized for posterior lamella repair. The results have been satisfactory from a functional and cosmetic standpoint.
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References
Anderson RL, Weinstein GS (1987) Full thickness bipe —dicle flap for total lower eyelid reconstruction. Arch Ophthalmol 105:570
Carraway JH, Vincent MP (1987) Reconstruction of eyelid deformities. In: NG Georgiade (ed) Essentials of plastic maxillofacial and reconstructive surgery. Williams and Wilkins, Baltimore, p 477
Collin JRO (1983) A manual of systematic eyelid surgery. Churchill Livingstone, Edinburgh, p 76
Doxanas MT (1986) Orbicularis muscle mobilisation in eyelid reconstruction. Arch Opthalmol 104:910
Leone CR (1987) Lateral canthal reconstruction. Ophthalmology 94:238
Levine MR, Buckman GB (1986) Semicircular flap revisited. Arch Ophthalmol 104:915
Matsuo K, Hirose T, Takahashi N, Iwasova M, Sotoh R (1987) Lower eyelid reconstruction with a conchal cartilage graft. Plast Reconstr Surg 80:547
Moss ACH, Cooper MCS, Lendrum J, Hiles W (1987) The sanctity of the upper lid in lower eyelid reconstruction questioned. A modification of a lid sharing procedure with a long-term follow-up. Br J Plast Surg 40:246
Mustardé JC (1980) Repair and reconstruction in the orbital region. A practical guide. 2nd ed. Churchill Livingstone, New York
Siegel RJ (1985) Palatal grafts for eyelid reconstruction. Plast Reconstr Surg 76:411
Weinstein GS, Anderson RL, Tse DT, Kersen RC (1985) The use of a periostal strip for eyelid reconstruction. Arch Ophthalmol 103:357
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Kurul, S., Özcan, G. & Yilmazli, C. Fricke supraorbital flap for reconstruction of total lower eyelid defects. Eur J Plast Surg 12, 8–11 (1989). https://doi.org/10.1007/BF00226914
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DOI: https://doi.org/10.1007/BF00226914