title: Pedicled lower lid-sharing flap for full-thickness reconstruction of the upper eyelid.
abstract: OBJECTIVE
  To explore the clinical effect of the pedicled lower lid-sharing flap for full-thickness reconstruction of the upper eyelid .
  
  
  METHODS
  From 2009 to 2013, 13 upper eyelids with meibomian gland carcinoma (13 patients, age range 52-78 years) were excised, and immediately reconstructed with a pedicled lower lid-sharing flap used for full-thickness upper eyelid defects (up to two-thirds of the eyelid width). Traditionally, the flap is divided after 3 to 4 weeks, and the recipient site closed directly.
  
  
  RESULTS
  During a 1-18-month follow-up period, no recurrence, lagophthalmos, hypertrophic scar, or bulky appearance was noted in any of the patients. Aesthetic results for the upper eyelid were obtained for all patients.
  
  
  CONCLUSIONS
  We conclude that the pedicled lower lid-sharing flap is a safe and reliable method for reconstruction of full-thickness upper eyelid defects. This procedure not only enables eyelid closure for eye protection, but also directly improves the aesthetic appearance of the face. After second-stage surgery, a stable eyelid margin and lashes with good blood supply and an acceptable cosmetic appearance with regard to symmetry of eyelid height, contour, tarsal show, and skin fold were achieved.
authors.affiliation: Department of Plastic Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China.
authors.forename: Y C
authors.initials: YC
authors.lastname: Wang
authors.affiliation: Department of Plastic Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China.
authors.forename: H Y
authors.initials: HY
authors.lastname: Dai
authors.affiliation: Department of Plastic Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China.
authors.forename: X
authors.initials: X
authors.lastname: Xing
authors.affiliation: Department of Plastic Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China.
authors.forename: C
authors.initials: C
authors.lastname: Lv
authors.affiliation: Department of Plastic Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China.
authors.forename: J
authors.initials: J
authors.lastname: Zhu
authors.affiliation: Department of Plastic Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China.
authors.forename: C Y
authors.initials: CY
authors.lastname: Xue
mesh_terms: D000368:Aged; D005142:Eyelid Neoplasms / Q000601:surgery; D005143:Eyelids / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008537:Meibomian Glands / Q000601:surgery; D008875:Middle Aged; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps
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