Lower lid reconstruction using tarsoconjunctival grafts and bipedicle skin-muscle flap.
We describe a method of subtotal lower eyelid reconstruction employing either a free tarsoconjunctival graft or a transpositional tarsoconjunctival flap from the upper lid together with a bipedicle skin-muscle advancement flap from the lower lid. A full-thickness skin graft is placed into the defect created by the movement of the bipedicle flap. This technique obviates the need to use a lid-sharing procedure that occludes the fissure and would be indicated for the monocular patient or one who would be at a serious disadvantage with the eye covered for several weeks.
Leone
C R
CR
Department of Ophthalmology, University of Texas Health Science Center, San Antonio.
Van Gemert
J V
JV
D003228:Conjunctiva / Q000637:transplantation*; D005069:Evaluation Studies as Topic; D005143:Eyelids / Q000473:pathology / Q000601:surgery* / Q000637:transplantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D013518:Surgery, Plastic; D013524:Surgical Flaps