title: Total Upper and Lower Eyelid Reconstruction: A Rare Procedure--A Report of Two Cases.
abstract: Reconstruction after total amputation of the upper and lower eyelids with preserved globe is rare. The primary goal is immediate corneal protection. The second goal is to restore mobility, occlusion, and facial symmetry. Two women had full-thickness excision of both upper and lower eyelids to treat a melanoma. The reconstruction method required four steps over a period of 5 months. A buccal mucosal graft was used to recreate the conjunctival lining, and an oblique forehead flap was used to recreate the skin. Resection of the flap and replacement by a full-thickness skin graft made it possible to recreate a thin and mobile upper eyelid. Visual acuity remained unchanged, and the eyelids remained functional despite a degree of ptosis and lower eyelid retraction.
  
  
  METHODS
  Therapeutic, V.
authors.affiliation: Marseille and Nice, France From the Department of Plastic Surgery, La Conception Hospital, the Department of Plastic Surgery, North Hospital, and the Department of Pediatric Plastic Surgery, La Timone Hospital, Assitance Public-Hôpitaux de Marseille, Aix-Marseille Université; and the Department of Plastic Surgery, St. Roch Hospital.
authors.forename: Baptiste
authors.initials: B
authors.lastname: Bertrand
authors.forename: Thomas Roger
authors.initials: TR
authors.lastname: Colson
authors.forename: Claire
authors.initials: C
authors.lastname: Baptista
authors.forename: Charalambos
authors.initials: C
authors.lastname: Georgiou
authors.forename: Cécile
authors.initials: C
authors.lastname: Philandrianos
authors.forename: Nathalie
authors.initials: N
authors.lastname: Degardin
authors.forename: Jacques
authors.initials: J
authors.lastname: Bardot
authors.forename: Dominique
authors.initials: D
authors.lastname: Casanova
mesh_terms: D000368:Aged; D019882:Blepharoplasty / Q000379:methods*; D005142:Eyelid Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D008545:Melanoma / Q000601:surgery*; D008875:Middle Aged; D012878:Skin Neoplasms / Q000601:surgery*