A new technique for levator lengthening to treat upper eyelid retraction: the orbital septal flap.
Correction of upper eyelid retraction can be achieved by numerous techniques. We have developed a new flap, the orbital septal flap, to interpose between the recessed levator complex and the tarsus to correct the retracted upper eyelid of a young girl. The orbital septum is a facial structure; it is readily available and easy to dissect. The flap acts like a vascularited spacer without the problem of resorption; normal anatomical continuity of the levator mechanism can be functionally restored. We believe the orbital septal flap is a promising technique for correcting upper eyelid retraction; however, more case studies are needed.
Lai
Chung-Sheng
CS
Division of Plastic and Reconstructive Surgery, Chung-Ho Memorial Hospital, Kaohsiung Medical University, 100 Shih-Chuan 1st Road, Kaohsiung 807, Taiwan. ipras2@cc.kmu.ed.tw
Lin
Tsai-Ming
TM
Tsai
Chih-Cheng
CC
Lin
Sin-Daw
SD
D000293:Adolescent; D019882:Blepharoplasty / Q000379:methods; D005141:Eyelid Diseases / Q000601:surgery*; D005143:Eyelids / Q000601:surgery*; D005260:Female; D006801:Humans; D009801:Oculomotor Muscles / Q000601:surgery*; D013524:Surgical Flaps