title: Microvascular Free Flap for Total Eyelid Reconstruction With a Visually Useful Eye.
abstract: Total eyelid loss, full thickness loss of the upper and lower eyelids, is uncommon and surgically challenging. Eyelid reconstruction after such injuries can be further complicated by loss of adjacent tissue. When tissue for local flaps is unavailable, free flaps must be considered. Few cases of total eyelid reconstruction via microvascular free flap have been reported, especially with an intact globe and good visual acuity. In this report, we describe the use of a microvascular free flap based on the radial artery for total eyelid reconstruction in a patient with an intact globe and useful visual acuity.
authors.affiliation: *Department of Ophthalmology, New York Medical College, Valhalla, New York, U.S.A.; †Department of Ophthalmology, New York University School of Medicine, New York, New York, U.S.A.; ‡Institute of Reconstructive Plastic Surgery, New York University School of Medicine, New York, New York, U.S.A.; §Department of Plastic Surgery, New York University School of Medicine, New York, New York, U.S.A.; and ‖Department of Ophthalmology, Mayo Clinic, Jacksonville, Florida, U.S.A.
authors.forename: Larissa K
authors.initials: LK
authors.lastname: Ghadiali
authors.forename: Payal
authors.initials: P
authors.lastname: Patel
authors.forename: Jamie P
authors.initials: JP
authors.lastname: Levine
authors.forename: Katherine G
authors.initials: KG
authors.lastname: Gold
authors.forename: Richard D
authors.initials: RD
authors.lastname: Lisman
mesh_terms: D000328:Adult; D019882:Blepharoplasty / Q000379:methods*; D005143:Eyelids / Q000293:injuries / Q000601:surgery*; D005151:Facial Injuries / Q000601:surgery*; D058752:Free Tissue Flaps / Q000098:blood supply*; D006801:Humans; D008297:Male; D008833:Microcirculation; D017534:Radial Artery / Q000601:surgery; D014792:Visual Acuity