[Clinic application of compound flap pedicled with arterial arch of palpebral margin].
OBJECTIVE
To study the clinic application of compound flap pedicled with arterial arch of palpebral margin in repairing severe full defect of eyelid.


METHODS
According to eyelid structure and the defect size, the two compound flaps were designed beside the defect based on the arterial arch of the palpebral margin. If the defective area was too large, the lateral compound flap may be extended to lower or upper eyelid 0.5 cm away from the outer canthus, then cut and propelled the two compound flaps to repair the full eyelid defect.


RESULTS
20 cases had been cured with this method since 1998. In this cases, 4 cases were basal cell carcinoma of eyelid, 2 cases were squamous carcinoma, 3 angiomas, 6 chromatophore nexuses, 3 traumatic defects, 2 congenital defects. The largest length of eyelid full defect was 1.7 cm and the smallest was 0.8 cm. 6 cases were upper eyelid defect and 14 cases were lower eyelid defect. All the compound flaps survived completely without any complications. All cases obtained satisfactory results functionally and esthetically.


CONCLUSIONS
Repairing full eyelid defect with the compound eyelid flap is the same kind tissue repairing. It can not only provide enough tissues to primary repair large full defect of the upper or lower eyelid to restore normal anatomical structure and appearance of the eyelid, but also is easy to be operated without severe secondary deformities. The arterial arch of the palpebral margin is constant and the blood supply of the compound flap is reliable. It is an ideal method of repairing the eyelid defect.
Zhao
Tian-lan
TL
Department of Plastic Surgery, Affiliated Hospital of Bengbu Medical College, Bengbu 233004, China.
Cheng
Xin-de
XD
Ge
Shu-xing
SX
Wang
Huai-gu
HG
Li
Xu-wen
XW
D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005143:Eyelids / Q000098:blood supply / Q000637:transplantation*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D009880:Ophthalmic Artery / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000379:methods; D013524:Surgical Flaps