title: Transposed cheek flap in lower lid reconstruction: a retrospective case note review.
abstract: OBJECTIVE
  To review the results of a cohort of patients that had a transposed cheek flap as part of the lower lid reconstruction.
  
  
  METHODS
  Patients were identified from a database and a retrospective case note review was conducted. 21 patients were identified but one set of notes was not traceable. 21 lids of 20 patients were included. Data included age, sex, laterality, date and details of surgery and follow up as well as details of any complications and additional surgery where required. Data was collected and analysed using Microsoft Excel.
  
  
  RESULTS
  9 male and 11 female patients were included. Median age was 51. Follow up ranged from 5 to 176 months (median 34). The posterior lamella was reconstructed in 13 patients. Complications included bulky lids and ectropion as well as a few cases of corneal irritation from dermal hairs. 8 cases had no complications. 7 cases required revision--2 for trichiasis, 2 for bulky lids and 3 for ectropion.
  
  
  CONCLUSIONS
  The transposed cheek flap is a useful technique in the reconstruction of lower lid lesions involving the lateral canthus. The majority of patients had a good cosmetic result and required no further intervention. The most frequent complications were bulky lids and ectropion.
authors: Salisbury District Hospital, Eye Unit, Salisbury District Hospital, Oddstock road, Salisbury, UK. meon@sandbunker.freeserve.co.uk
authors: Meon
authors: M
authors: Lamont
authors: Rama
authors: R
authors: Jayaramachandran
authors: Tony
authors: T
authors: Tyers
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002280:Basal Cell Carcinoma / Q000601:surgery; D002610:Cheek / Q000601:surgery*; D002921:Cicatrix / Q000601:surgery; D004483:Ectropion / Q000601:surgery; D005141:Eyelid Diseases / Q000601:surgery*; D005142:Eyelid Neoplasms / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation; D012189:Retrospective Studies; D013524:Surgical Flaps; D016896:Treatment Outcome