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Local Temporal Island Flap Combined with Orbicularis Oculi Muscle Flap for Reconstruction of the Lower Anterior Eyelid

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Abstract

The functional and cosmetic outcomes of defect reconstruction of the lower eyelid are very important because of the specialised functions and complex anatomy of this region. Several techniques can be used to reconstruct the anterior lamella defect of the lower eyelid. We aimed to introduce a new technique for reconstructing the lateral or medial anterior lamella defects while preventing ectropion and gaining good appearance. The local temporal island flap combined with orbicularis oculi muscle flap was designed. From 1 January 2014 to 1 January 2018, the local temporal island flap combined with orbicularis oculi muscle flap was designed to reconstruct the anterior lamella defects of the lower eyelids in 10 patients. The cause of the defects, its location, the postoperative cosmetic and functional results, and complications were recorded and analysed. The survival rate of the flaps was 100% postoperatively. No ectropion or other complications were observed during the follow-up period. The aesthetic and functional result was satisfactory. The local temporal island flap combined with orbicularis oculi muscle flap may be an alternative for a single-stage reconstruction of anterior lamella defects of the lower eyelid with good functional and cosmetic results.

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References

  1. Tirone L, Schonauer F, Sposato G, Molea G (2009) Reconstruction of lower eyelid and periorbital district: an orbicularis oculi myocutaneous flap. J Plast Reconstr Aesthet Surg 62:1384–1388

    Article  CAS  Google Scholar 

  2. Zide BM, Jelks GW (1984) Surgical anatomy of the orbit. Plast Reconstr Surg 74:301–305

    Article  CAS  Google Scholar 

  3. Chang EI, Esmaeli B, Butler CE (2017) Eyelid reconstruction. Plast Reconstr Surg 140:724e–735e

    Article  CAS  Google Scholar 

  4. Kim SW, Han HH, Jung SN (2012) Orbicularis oculi myocutaneous island flap for upper eyelid reconstruction. J Craniofac Surg 23:746–748

    Article  Google Scholar 

  5. Verity DH, Collin JR (2004) Eyelid reconstruction: the state of the art. Curr Opin Otolaryngol Head Neck Surg 12:344–348

    Article  Google Scholar 

  6. Guerrissi JO (2005) Surgical reconstruction of the palpebral border: upper lid eyebrow-musculocutaneous island flap. Plast Reconstr Surg 115:1118–1123

    Article  CAS  Google Scholar 

  7. Vayvada H, Menderes A, Tan O, Yilmaz M (2006) Total lower eyelid reconstruction using paranasal flap. J Craniofac Surg 17:1020–1026

    Article  Google Scholar 

  8. Tei TM, Larsen J (2003) Use of the subcutaneously based nasolabial flap in lower eyelid reconstruction. Br J Plast Surg 56:420–423

    Article  CAS  Google Scholar 

  9. Stafanous SN (2007) The switch flap in eyelid reconstruction. Orbit 26:255–262

    Article  CAS  Google Scholar 

  10. Bozikov K, Shaw-Dunn J, Soutar DS, Arnez ZM (2008) Arterial anatomy of the lateral orbital and cheek region and arterial supply to the ‘peri-zygomatic perforator arteries’ flap. Surg Radiol Anat 30:17–22

    Article  CAS  Google Scholar 

  11. Demir Z, Yüce S, Karamürsel S, Celebioglu S (2008) Orbicularis oculi myocutaneous advancement flap for upper eyelid reconstruction. Plast Reconstr Surg 121:443–450

    Article  CAS  Google Scholar 

  12. Paridaens D, van den Bosch WA (2008) Orbicularis muscle advancement flap combined with free posterior and anterior lamellar grafts: a 1-stage sandwich technique for eyelid reconstruction. Ophthalmology 115:189–194

    Article  Google Scholar 

  13. Porfiris E, Kalokerinos D, Christopoulos A, Damilakos P, Ioannidis A, Georgiou P (2000) Upper eyelid island orbicularis oculi myocutaneous flap for periorbital reconstruction. Ophthal Plast Reconstr Surg 16:42–44

    Article  CAS  Google Scholar 

  14. Spinelli HM, Jelks GW (1993) Periocular reconstruction: a systematic approach. Plast Reconstr Surg 91:1017–1024 discussion 1025

    Article  CAS  Google Scholar 

  15. Hübner H (1976) Closure of eyelid defects by transplantation of lid margin and tarsus. Klin Monatsbl Augenheilkd 168:677–682

    PubMed  Google Scholar 

  16. Wesley RE, Klippenstein KA, Gallo SA, et al. (2001) Full-thickness eyelid reconstruction. In: Chen P, ed. Oculoplastic Surgery. The Essentials. New York: Thieme :243–262

  17. Siegel RJ (1985) Palatal grafts for eyelid reconstruction. Plast Reconstr Surg 76:411–414

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Plastic Surgery, The First Affiliated Hospital of Anhui Medical University, 218, JiXi Road, Hefei, 230022, Anhui Province, China

    YiChun Ding, XiaoJing Li, Lin Zhang, XinYi Li & Fei Zhu

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  1. YiChun Ding
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  2. XiaoJing Li
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  3. Lin Zhang
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  4. XinYi Li
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  5. Fei Zhu
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Correspondence to XiaoJing Li.

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The local ethics committee had approved the study.

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The authors declare that they have no conflict of interest.

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Ding, Y., Li, X., Zhang, L. et al. Local Temporal Island Flap Combined with Orbicularis Oculi Muscle Flap for Reconstruction of the Lower Anterior Eyelid. Indian J Surg 83, 139–143 (2021). https://doi.org/10.1007/s12262-020-02333-5

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  • DOI: https://doi.org/10.1007/s12262-020-02333-5

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