Island chondro-mucosal flap and skin graft: a new technique in eyelid reconstruction.
We report a new technique of large full thickness eyelid defect reconstruction using an axial island chondro-mucosal flap from the lateral aspect of the nose and a full-thickness skin graft. The flap is harvested undermining the skin and the subperiosteal plane and taking a strip of upper lateral cartilage and nasal mucosa. It is transposed to reconstruct the tarso-conjunctival plane of the missing eyelid and the skin defect repaired with a skin graft. The donor defect is repaired by direct closure. Satisfactory results were obtained in 3 patients. In our opinion, the technique is a reliable choice when dealing with large full thickness defects of the upper eyelid, and, in selected cases, of the lower eyelid.
Scuderi
N
N
Plastic Surgery Department, La Sapienza University of Rome, Italy.
Rubino
C
C
D018266:Adenocarcinoma, Sebaceous / Q000601:surgery; D000368:Aged; D002280:Basal Cell Carcinoma / Q000601:surgery; D002356:Cartilage / Q000637:transplantation; D005142:Eyelid Neoplasms / Q000601:surgery; D005143:Eyelids / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008537:Meibomian Glands / Q000601:surgery; D009297:Nasal Mucosa / Q000637:transplantation; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps / Q000379:methods*