Eyelid reconstruction using a vascularized composite flap.
For reconstruction of full-thickness eyelid defects, it is optimal to use the eyelid. As a new surgical technique, we reconstructed these defects using a composite flap with vascular pedicles. A composite flap was prepared using the inferior medial palpebral artery as a nutrient vessel for reconstruction in two cases. After surgery, partial necrosis of the skin in the composite flap occurred, and ciliary loss was observed; however, the tarsoconjunctival layer could be reconstructed, and good results were obtained in terms of function and morphology.
Uchinuma
E
E
Department of Palstic and Reconstructive Surgery, Kitasato University, School of Medicine, Sagamihara, Kanagawa, Japan.
Tsujino
I
I
Shioya
N
N
D000368:Aged; D001158:Arteries / Q000637:transplantation; D019882:Blepharoplasty / Q000379:methods*; D005143:Eyelids / Q000098:blood supply / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D013524:Surgical Flaps / Q000098:blood supply*