title: Total upper eyelid reconstruction with mucosalized tarsal graft and overlying bipedicle flap.
abstract: Total or near-total upper eyelid reconstruction with a mucosalized tarsal graft and overlying bipedicled myocutaneous flap was performed on 12 patients. This technique offers several advantages over other reconstructive methods: (1) the opportunity for immediate visual rehabilitation through a single-staged procedure without obscuration of the visual axis, (2) preservation of eyelid blinking and closure by relocation of functional orbicularis muscle, (3) excellent eyelid contour, and (4) use of tissue physiologically similar to that removed. The technique and clinical results are presented herein.
authors.affiliation: Department of Ophthalmology, Cullen Eye Institute, Baylor College of Medicine, Houston, Tex, USA.
authors.forename: J R
authors.initials: JR
authors.lastname: Patrinely
authors.forename: K D
authors.initials: KD
authors.lastname: O'Neal
authors.forename: R C
authors.initials: RC
authors.lastname: Kersten
authors.forename: C N
authors.initials: CN
authors.lastname: Soparkar
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019882:Blepharoplasty / Q000379:methods*; D002675:Child, Preschool; D003228:Conjunctiva / Q000637:transplantation*; D062109:Dermatologic Surgical Procedures; D005141:Eyelid Diseases / Q000601:surgery*; D005143:Eyelids / Q000637:transplantation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009801:Oculomotor Muscles / Q000601:surgery; D013524:Surgical Flaps