[The value of a previously expanded musculo-cutaneous flap of the lower eyelid for the reconstruction of a full thickness loss of tissue substance of the upper eyelid].
The authors report a new technique for the reconstruction of upper eyelid full thickness tissue losses in preserving the inferior edge. They describe a myo-cutaneous inferior eyelid flap which has been preliminarily expanded before transposition. An anatomical study has demonstrated vascularization and innervation of the myo-cutaneous eyelid flap which will remain active. A clinical case presentation confirms a good aesthetic but also functional result with a transferred active orbicularis muscle which allows the regain of a dynamic upper eyelid.
Ducours
J L
JL
Service de Stomatologie et de Chirurgie Maxillo-Faciale, Centre Hospitalier, Agen.
Failloux
A
A
Ardanza
B
B
Modschiedler
T
T
Caix
P
P
D000328:Adult; D005141:Eyelid Diseases / Q000601:surgery*; D005143:Eyelids / Q000293:injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D009132:Muscles / Q000637:transplantation*; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps / Q000379:methods; D015626:Tissue Expansion / Q000379:methods*
Intérêt d'un lambeau musculo-cutané de paupière inférieure préalablement expansé pour la reconstruction d'une perte de substance de pleine épaisseur de la paupière supérieure.