Aesthetic total lower eyelid reconstruction.
This article describes the reconstruction of the lower eyelid in two layers. Mucosa is provided by mobilizing the bulbar conjunctiva; the cutaneous layer is furnished by a laterally based myocutaneous flap from the ipsilateral upper lid. The tarsal plate is no longer taken into consideration. In 24-48 hours, the eyepad is removed and the patient can use the eye. The unaltered neurovascular supply to the flap provides good eyelid function and tone, and the aesthetic result is satisfactory.
Fuertes-Lanzuela
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D000368:Aged; D002280:Basal Cell Carcinoma / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005142:Eyelid Neoplasms / Q000601:surgery*; D005143:Eyelids / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013524:Surgical Flaps