title: A new technique for levator lengthening to treat upper eyelid retraction: the orbital septal flap.
abstract: 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.
authors.affiliation: 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
authors.forename: Chung-Sheng
authors.initials: CS
authors.lastname: Lai
authors.forename: Tsai-Ming
authors.initials: TM
authors.lastname: Lin
authors.forename: Chih-Cheng
authors.initials: CC
authors.lastname: Tsai
authors.forename: Sin-Daw
authors.initials: SD
authors.lastname: Lin
mesh_terms: 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