title: Treatment of severe lower eyelid retraction with scleral and free skin grafts and bipedicle orbicularis flap.
abstract: Surgical repair of lamellar shortening must treat the anterior and posterior shortening, plus the scarring between Mueller's muscle, capsulopalpebral fascia, and periosteum. We describe a repair method in which a full-thickness, free skin graft is used to correct the anterior lamellar defect, and a homologous scleral graft is used to correct the posterior defect. Vascular support for the two free grafts is provided by a bipedicular orbicularis muscle flap.
authors.affiliation: Mount Sinai Hospital, University of Toronto, Sunnybrook Medical Center, Ontario, Canada.
authors.forename: J J
authors.initials: JJ
authors.lastname: Hurwitz
authors.forename: K F
authors.initials: KF
authors.lastname: Archer
authors.forename: J S
authors.initials: JS
authors.lastname: Gruss
mesh_terms: D005141:Eyelid Diseases / Q000601:surgery*; D006801:Humans; D008722:Methods; D011379:Prognosis; D012590:Sclera / Q000601:surgery*; D016038:Skin Transplantation; D013524:Surgical Flaps