title: Scalping forehead transposition flap for total eyelid reconstruction with periocular involvement associated with a conjunctival cyst formation.
abstract: BACKGROUND
  Total upper and lower eyelid loss due to carcinoma or trauma while conserving a functioning eye is rarely seen. In such cases being able to maintain the ocular surface may prove to be a surgical challenge, more so when there is a history of tumor recurrence, multiple procedures or tissue loss that exceeds the palpebral region, thus limiting the reconstructive options.
  We present a case report where a scalping forehead transposition flap pedicled on the superficial temporal artery territory was performed to reconstruct a full thickness skin defect that involved the dorsum of the nose, cheek, upper and lower eyelids. A conjunctival advancement flap for ocular surface protection was used that unexpectedly rendered a cystic cavity that functioned as a tissue expander.
  
  
  CONCLUSIONS
  Although the technique requires at least two surgical stages, we recommend this approach when other options are not feasible.
authors.affiliation: Division of Ophthalmology and.
authors.forename: Jaime
authors.initials: J
authors.lastname: Badilla
authors.forename: Silvia
authors.initials: S
authors.lastname: González-Arias
mesh_terms: D000368:Aged; D019882:Blepharoplasty / Q000379:methods*; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D003228:Conjunctiva / Q000601:surgery*; D003560:Cysts / Q000601:surgery*; D005142:Eyelid Neoplasms / Q000601:surgery*; D005546:Forehead / Q000601:surgery*; D006801:Humans; D008297:Male; D013524:Surgical Flaps