Reconstruction following subtotal full-thickness upper eyelid resection with preservation of the lid margin.
OBJECTIVE
To describe a modification of a technique for upper eyelid reconstruction previously described by Patrinely et al.


METHODS
Radical excision of a large adenoid cystic carcinoma of the upper eyelid resulted in a subtotal full-thickness eyelid defect with preservation of 2 mm of eyelid margin. Reconstruction was performed with a free transconjunctival graft of maximum size from the contralateral upper eyelid, an overlying bipedicled skin-orbicularis oculi muscle flap and a free skin graft.


RESULTS
With this one-step technique, a good cosmetic and functional result could be obtained.


CONCLUSIONS
If the eyelid margin can be spared, reconstruction of even very large upper eyelid defects with a modification of the technique reported by Patrinely et al. may yield a good result.
D019882:Blepharoplasty / Q000379:methods*; D003528:Carcinoma, Adenoid Cystic / Q000601:surgery*; D005142:Eyelid Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged