Repair of Eyelid Defects with the Orbicularis Oculi Mobilization Technique: Naugle-Levine Procedure
Full-thickness large (>50%) defects of the upper and lower eyelids are challenging to reconstruct. The blood supply from advanced orbicularis oculi muscle flap allows for the utilization of both a skin graft and a posterior lamellar graft when desirable. The repair of eyelid defects incorporating orbicularis mobilization is particularly useful in patients who are monocular and in those patients who wish to avoid occlusion of the visual axis created by an eyelid sharing procedure. Herein, we describe the technique.