title: Double-bridged flap procedure for nonmarginal, full-thickness, upper eyelid reconstruction.
abstract: OBJECTIVE
  To describe the technique and results of double-bridged flap reconstruction of full-thickness upper eyelid defects that spares the upper eyelid margin.
  
  
  METHODS
  The surgical technique is described and illustrated in 2 patients who underwent this procedure.
  
  
  RESULTS
  The 2 patients presented in this study achieved excellent functional and cosmetic results following the procedure. One patient subsequently underwent a frontalis sling procedure to correct residual ptosis.
  
  
  CONCLUSIONS
  Double-bridged flap reconstruction of the upper eyelid that spares the eyelid margin can provide excellent functional and cosmetic results, particularly in cases of nonmarginal eyelid tumor excision, severe upper eyelid scarring, and severe cicatricial retraction.
authors.affiliation: Department of Ophthalmology, University of North Carolina, Chapel Hill, North Carolina 27599-7040, USA. jonathan_dutton@med.unc.edu
authors.forename: Jonathan J
authors.initials: JJ
authors.lastname: Dutton
authors.forename: Amy M
authors.initials: AM
authors.lastname: Fowler
mesh_terms: D018266:Adenocarcinoma, Sebaceous / Q000601:surgery; D000368:Aged; D019882:Blepharoplasty / Q000379:methods*; D001763:Blepharoptosis / Q000601:surgery; D005142:Eyelid Neoplasms / Q000601:surgery; D005143:Eyelids / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012626:Sebaceous Gland Neoplasms / Q000601:surgery; D013524:Surgical Flaps